Individual
SHONTA EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E 60TH DR, MERRILLVILLE, IN 46410-3011
(219) 455-2447
(219) 427-0432
Mailing address
333 E 60TH DR, MERRILLVILLE, IN 46410-3011
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
IN
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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