Female

Ms. Shantae Wofford

Health & Wellness Coach in Michigan City, IN(View on Map)

Full Name

Ms. Shantae Wofford

NPI Number

1720791767

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/04/2023

Specialties

(Taxonomies)

Code

171400000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1303 WABASH ST
1303 WABASH ST

City

Michigan City
Michigan City

State

IN
IN

Postal Code

46360-4221
46360-4221

Country

US
US

Telephone Number

N/A
(219) 488-4897

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/04/2023

Provider Address