Individual
SHANTEL ELLYCE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL TATTOOIST
Contact information
Practice address
2050 GREELEY MALL # 27, GREELEY, CO 80631-8522
(970) 573-5248
Mailing address
2050 GREELEY MALL # 27, GREELEY, CO 80631-8522
(970) 573-5248
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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