Individual
MRS. SHANNON MARIE PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2400 HWY 95 STE 50, BULLHEAD CITY, AZ 86442-7313
(928) 299-2424
Mailing address
1965 E LIPAN BLVD, FORT MOHAVE, AZ 86426-8801
(949) 521-2292
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-011392
AZ
Other
Enumeration date
04/15/2025
Last updated
04/19/2025
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