SearchIndiana246RP1900X

Shonta Edmond

NPI 1124457791 · on the registry since 2013 · sole proprietor

Practice

Address
333 E 60th Dr
Merrillville, IN 46410
Phone
(219) 455-2447
Fax
(219) 427-0432

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana