Individual
MS. SHANTE'LLE DER'RECKA GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5028 WOODLAND HILLS BLVD, DAYTON, OH 45414-4758
(937) 782-8433
Mailing address
5028 WOODLAND HILLS BLVD, DAYTON, OH 45414-4758
(937) 782-8433
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
401618320314
OH
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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