Individual
SHASTA LEE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 METRO EAST DR STE 110, PLEASANT HILL, IA 50327-8906
(515) 243-0011
(515) 243-7711
Mailing address
1300 METRO EAST DR STE 110, PLEASANT HILL, IA 50327-8906
(515) 243-0011
(515) 243-7711
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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