SHAQUELA L SANFORD

CHATTANOOGA, TN
NPI1457964850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2020-08-25
Last Update Date2020-12-02
Business Address
SHAQUELA L SANFORD
301 N SAINT MARKS AVE
CHATTANOOGA, TN 37411-3435
Phone number: 256-348-9295
Mailing Address
SHAQUELA L SANFORD
301 N SAINT MARKS AVE
CHATTANOOGA, TN 37411-3435
Phone number: 256-348-9295