MRS. Shallis Michelle Gonda

NPI #1740580182 in Cordova, Tennessee

Provider Information

NPI Number
1740580182
Entity Type
Individual
Name
MRS. Shallis Michelle Gonda
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 2, 2010
Last Updated
Nov 2, 2010

Practice Location

Address
1155 CULLY RD
ZIP Code
38018-8502
Phone
(901) 624-2454

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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