Individual
TAMARA S SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA AAMA
Contact information
Practice address
9240 N 6800 W, TREMONTON, UT 84337-8605
(801) 389-1031
Mailing address
9240 N 6800 W, TREMONTON, UT 84337-8605
(801) 389-1031
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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