KATHRYN MARIE SHANTZ

GOSHEN, IN
NPI1275622417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IN  72000098A)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: MI  4704219087)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- KATHRYN MARIE SHANTZ CNM
60728 COUNTY ROAD 27
GOSHEN, IN 46528-6638
Phone number: 574-535-3501
Mailing Address
-- KATHRYN MARIE SHANTZ CNM
60728 COUNTY ROAD 27
GOSHEN, IN 46528-6638
Phone number: 574-534-5315