Individual
SHANNON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
255 NE 3RD AVE APT 2316, DELRAY BEACH, FL 33444-3749
(734) 748-0837
Mailing address
255 NE 3RD AVE APT 2316, DELRAY BEACH, FL 33444-3749
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
03/21/2024
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