Individual
BRIENNE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 W CHURCH AVE, LONGWOOD, FL 32750-4105
(407) 205-7794
Mailing address
414 E 9TH ST, APOPKA, FL 32703-6406
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
05/23/2019
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