SHANITA LASHAWN POLK

LOUISVILLE, KY
NPI1932543683
Former NameSHANITA LASHAWN SUMMERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence: KY  017585)
Enumeration Date2013-04-24
Last Update Date2013-05-09
Business Address
-- SHANITA LASHAWN POLK
3411 SUMAC RD
LOUISVILLE, KY 40216-3336
Phone number: 502-572-5058
Mailing Address
-- SHANITA LASHAWN POLK
3411 SUMAC RD
LOUISVILLE, KY 40216-3336
Phone number: 502-572-5058
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