| Doctor Name: | MRS. MONICA B VANZANDT |
| NPI Number: | 1518190784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 13405 Seymour Meyers Blvd Suite 15 Covington, LA - 704336896 |
| Business Phone Number: | 8888779110 |
| Business Fax Number: | 9858091292 |
| Mailing Address: | 31 Sydney Ct, COVINGTON |
| State: | LA |
| Postal Code: | 704334755 |
| Phone Number: | 8888779110 |
| Fax Number: | 9858091292 |
| NPI Enumeration Date: | 09/03/2009 |
| NPI Last Update Date: | 09/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |