Individual
SHALENNA F BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 BENTON ST, COUNCIL BLUFFS, IA 51503-3139
(402) 812-9830
Mailing address
375 BENTON ST, COUNCIL BLUFFS, IA 51503-3139
(402) 812-9830
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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