Individual
SHANNON HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHAT
Contact information
Practice address
309 SPRUCE STREET, FORT YUKON, AK 99740
(907) 662-7531
(907) 662-2709
Mailing address
309 SPRUCE STREET, FORT YUKON, AK 99740
(907) 662-7531
(907) 662-2709
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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