Individual
SHANNON MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
192 VAUGHN RD, GAFFNEY, SC 29341-2863
(864) 489-2424
Mailing address
192 VAUGHN RD, GAFFNEY, SC 29341-2863
(864) 489-2424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84134
SC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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