MRS. Shauntae Marie Dixon
NPI #1346401957 in South Bend, Indiana
Provider Information
- NPI Number
- 1346401957
- Entity Type
- Individual
- Name
- MRS. Shauntae Marie Dixon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jun 17, 2008
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 23191 LAWRENCE ST
- Address 2
- 23191 LAWRENCE ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46628-5250
- Phone
- (574) 234-3107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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