DOMICA SHANTA LIGHT

CHAMPAIGN, IL
NPI1972890499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Enumeration Date2011-07-05
Last Update Date2011-07-05
Business Address
-- DOMICA SHANTA LIGHT
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
Mailing Address
-- DOMICA SHANTA LIGHT
2602 CARRELTON DR
CHAMPAIGN, IL 61821-4760
Phone number: 217-848-2262