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Individual

MS. BRYNN T SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4138 RUTHLEDGE ST, GARY, IN 46408
(219) 888-9331
Mailing address
4138 RUTLEDGE ST, GARY, IN 46408-2369
(219) 300-8577

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA1405161
IN
376K00000X
Nurse's Aide
CNA1100205
IN

Other

Enumeration date
06/27/2017
Last updated
07/21/2022
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