Andre L Shelly Valid NPI
Individual provider · Durable Medical Equipment & Medical Supplies · Thibodaux, LA
- NPI
- 1093083032
- Type
- Individual (Type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Specialty group
- Suppliers
- Taxonomy code
- 332B00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-12-06
- Last updated
- 2011-12-06
Practice location
301 Brandywine Blvd
Thibodaux, LA 70301-6156
(404) 798-6741