Individual
SHANNON OVWIGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 NW 13TH ST, GAINESVILLE, FL 32601-4137
(352) 244-9929
Mailing address
1105 NW 13TH ST, GAINESVILLE, FL 32601-4137
(352) 244-9929
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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