Individual
SHAUNA C VIDAURRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(620) 223-8659
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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