Individual
SHENEAK SHONTEL MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 W DOLING LN, SPRINGFIELD, MO 65803-2176
(417) 258-5824
Mailing address
1419 W DOLING LN, SPRINGFIELD, MO 65803-2176
(417) 258-5824
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
BUS2021-01538
MO
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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