Individual
SHAUNDRA GONTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 MURIEL ST, LA MARQUE, TX 77568-6153
(409) 454-1138
Mailing address
236 MURIEL ST, LA MARQUE, TX 77568-6153
(409) 454-1138
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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