SHANON IMENA HARDIN

DANVILLE, IL
NPI1033719208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: FL  PRO167)
Enumeration Date2020-10-27
Last Update Date2020-10-27
Business Address
Mrs. SHANON IMENA HARDIN CP
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-3000
Mailing Address
Mrs. SHANON IMENA HARDIN CP
6007 SNOWY EGRET LN
GREENACRES, FL 33415-1528
Phone number: 510-847-7447