ALEXIS SHANTEL EZELL

GARY, IN
NPI1508549254
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
Ms. ALEXIS SHANTEL EZELL
1100 W 5TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
Ms. ALEXIS SHANTEL EZELL
1100 W 5TH AVENUE
GARY, IN 46402-1711
Phone number: 219-885-4264
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