Individual
SHANNON WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N FARRAGUT ST, BAY CITY, MI 48708-6039
(989) 252-1106
Mailing address
911 FARRAGUT, BAY CITY, MI 48708
(989) 252-1106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106332
MI
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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