SHANTA RENA WILSON

FERRIDAY, LA
NPI1700370764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
SHANTA RENA WILSON
128 LOUISIANA AVE
FERRIDAY, LA 71334-2826
Phone number: 318-437-7157
Mailing Address
SHANTA RENA WILSON
128 LOUISIANA AVE
FERRIDAY, LA 71334-2826
Phone number: 318-437-7157
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