Individual
SHANNON MCGIBBONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E 34TH ST, INDIANAPOLIS, IN 46205-3867
(317) 496-2035
Mailing address
950 E 34TH ST, INDIANAPOLIS, IN 46205-3867
(317) 496-2035
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
IN
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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