Individual
SHANNA RENAE STUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10 TAFT ST. S, HUMBOLDT, IA 50548
(515) 332-2950
Mailing address
10 TAFT ST S, HUMBOLDT, IA 50548-2037
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
091469
IA
Other
Enumeration date
05/30/2018
Last updated
03/31/2020
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