Individual
SHANNON STUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5224 NET DRIVE APT 315, TAMPA, FL 33634
(254) 231-8890
Mailing address
5224 NET DR APT 315, TAMPA, FL 33634-5190
(254) 231-8890
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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