Individual
SHAUNA SHOULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 E RUSHMORE DR, BRANDON, SD 57005-1616
(605) 582-6546
Mailing address
1302 E RUSHMORE DR, BRANDON, SD 57005-1616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1311
SD
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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