OHM SHUKLA

CHAMPAIGN, IL
NPI1134851025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: IL  060678431)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
OHM SHUKLA EMT-B
11 GERTY DR
CHAMPAIGN, IL 61820-7404
Phone number: 217-338-8925
Mailing Address
OHM SHUKLA EMT-B
11 GERTY DR
CHAMPAIGN, IL 61820-7404
Phone number: