Individual
SHANTINEE YVONNE DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7625 METRO BLVD, MINNEAPOLIS, MN 55439-3053
(612) 821-2189
Mailing address
5224 28TH AVE S, MINNEAPOLIS, MN 55417-1960
(651) 592-4333
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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