Individual
MRS. SHANNA GAIL DUDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1108 INDIANA AVE, LA PORTE, IN 46350-4946
(219) 362-5433
(219) 362-0027
Mailing address
2574 S 350 W, LA PORTE, IN 46350-7895
(765) 860-9098
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002569A
IN
Other
Enumeration date
05/06/2011
Last updated
06/22/2016
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