Individual
SHANNON LEKNISKAS STALHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
965 23RD PL SW, VERO BEACH, FL 32962-8120
(772) 501-3558
Mailing address
965 23RD PL SW, VERO BEACH, FL 32962-8120
(772) 501-3558
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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