Individual
SHANNON O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3449 REZANOF DR E, KODIAK, AK 99615-6952
(907) 486-9880
Mailing address
482 SHEARWATER WAY, KODIAK, AK 99615-7027
(509) 468-8275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
29721
AK
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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