Individual
MS. SHANON MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 LAUREL ST, CENTEREACH, NY 11720-1710
(516) 551-4283
Mailing address
17 LAUREL ST, CENTEREACH, NY 11720-1710
(516) 551-4283
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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