Individual
SHANNON CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
406 PLATT ST, RAPID CITY, SD 57702-2310
(605) 877-1085
Mailing address
406 PLATT ST, RAPID CITY, SD 57702-2310
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
1023-3174-ST
SD
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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