SHANTA RENAE SMALL

LEXINGTON, KY
NPI1508382847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-08-18
Last Update Date2017-08-18
Business Address
SHANTA RENAE SMALL
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
Mailing Address
SHANTA RENAE SMALL
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number:
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