| NPI | 1346401957 |
|---|---|
| Other Name | SHAUNTAE MARIE DELOACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 343900000X) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 1728808) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |