SHALLIS MICHELLE GONDA

CORDOVA, TN
NPI1740580182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2010-11-02
Last Update Date2010-11-02
Business Address
Mrs. SHALLIS MICHELLE GONDA
1155 CULLY RD
CORDOVA, TN 38018-8502
Phone number: 901-624-2454
Mailing Address
Mrs. SHALLIS MICHELLE GONDA
1155 CULLY RD
CORDOVA, TN 38018-8502
Phone number: 901-624-2454