Shantae Marie Gant
Shantae Marie Gant is a Student in an Organized Health Care Education/Training Program in Mansfield, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3314 Sloan RdMansfield, LA 71052-6604
Phone: (318) 947-0087
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1992426357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2022 |
| Last updated in NPPES | September 6, 2022 |
| Certification date | September 6, 2022 |