SHANTELL CHONNE TUCKER

SHREVEPORT, LA
NPI1144816950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2020-12-16
Last Update Date2021-02-26
Business Address
Ms. SHANTELL CHONNE TUCKER
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
Ms. SHANTELL CHONNE TUCKER
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 318-202-3706
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