Shanda Mathis

NPI #1366983975 in Inkster, Michigan

Provider Information

NPI Number: 1366983975
Entity Type: Individual
Name: Shanda Mathis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Mar 15, 2017
Last Updated: Mar 15, 2017

Practice Location

Address: 26730 NOTRE DAME ST
City: Inkster
State: Michigan
ZIP Code: 48141-2530
Phone: (313) 789-8421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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