Individual
MRS. SHANNON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1761 SNOWSHOE LN, TRAVERSE CITY, MI 49685-7110
(231) 649-0267
Mailing address
6051 FRANKFORT HWY STE 100, BENZONIA, MI 49616-9657
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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