Individual
SHASHA LETRICE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
5490 BROADWAY STE L-6, MERRILLVILLE, IN 46410-1663
(219) 779-8893
(219) 874-1682
Mailing address
150 E 59TH AVE APT 1, MERRILLVILLE, IN 46410-2657
(219) 955-1092
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/14/2023
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