Individual
SHADIA TANNIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4381 SAINT ELAIS CV, FORT WAYNE, IN 46845-8500
(954) 636-0319
Mailing address
4381 SAINT ELAIS CV, FORT WAYNE, IN 46845-8500
(954) 636-0319
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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