SHANTA BRUNSON

GARY, IN
NPI1336755610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: IN  229006)
Enumeration Date2020-09-22
Last Update Date2020-09-22
Business Address
Prof. SHANTA BRUNSON home health agency
601 S LAKE ST
GARY, IN 46403-2937
Phone number: 219-413-1220
Mailing Address
Prof. SHANTA BRUNSON home health agency
601 S LAKE ST
GARY, IN 46403-2937
Phone number: 219-413-1220
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