Individual
SHALANTA SEAWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
6931 THOUSAND OAKS DR, INDIANAPOLIS, IN 46214-3277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28205435A
IN
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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