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Individual

SHANNON LEIGH GLENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1155 EAST MOUNTAIN BLVD, WILKES-BARRE, PA 18702
(570) 809-7916
Mailing address
92 W HARTFORD ST, ASHLEY, PA 18706-1608

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN777429
PA

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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