SHANTA MOULTON

BISMARCK, ND
NPI1619635976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-12-03
Last Update Date2021-12-03
Business Address
SHANTA MOULTON
4001 LOCKPORT ST APT 315
BISMARCK, ND 58503-5581
Phone number: 815-735-7322
Mailing Address
SHANTA MOULTON
4001 LOCKPORT ST APT 315
BISMARCK, ND 58503-5581
Phone number: 815-735-7322
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