Individual
SHANNON LEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 N MAIN ST, VASSAR, MI 48768-1321
(989) 529-8350
Mailing address
234 N MAIN ST, VASSAR, MI 48768-1321
(989) 529-8350
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113081
MI
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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