Individual
INGRID SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 E RICHMOND ST, SPRINGFIELD, MO 65804-7449
(417) 353-7103
Mailing address
1607 E RICHMOND ST, SPRINGFIELD, MO 65804-7449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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