Individual
MRS. SHANNON BROOKE ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB, RYT-200
Contact information
Practice address
169 SNOWY MOUNTAIN CIRCLE, BIG SKY, MT 59716
(918) 902-5095
Mailing address
90 W MADISON AVE, SUITE-245, BELGRADE, MT 59714-3955
(918) 902-5095
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
0016656
CO
171W00000X
Contractor
Primary
8079
MT
Other
Enumeration date
11/20/2014
Last updated
07/14/2015
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