Mrs. Shallis Michelle Gonda
Mrs. Shallis Michelle Gonda is a Community/Behavioral Health Agency in Cordova, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
1155 Cully RdCordova, TN 38018-8502
Phone: (901) 624-2454
Fax: (901) 624-2928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1740580182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2010 |
| Last updated in NPPES | November 2, 2010 |
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