Individual
MRS. SHANNETTA FOXMOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 WILMORE DR, MIDDLETOWN, DE 19709-8384
(302) 230-1185
Mailing address
406 WILMORE DR, MIDDLETOWN, DE 19709-8384
(302) 230-1185
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
DE
335E00000X
Prosthetic/Orthotic Supplier
—
NJ
335E00000X
Prosthetic/Orthotic Supplier
—
PA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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