Domica Shanta Light
Domica Shanta Light is a Case Management Agency in Champaign, Illinois. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
202 W Park AveChampaign, IL 61820-3929
Phone: (217) 373-2430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1972890499 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 5, 2011 |
| Last updated in NPPES | July 5, 2011 |
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