Individual
SHANNON LYNN BARSTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20661 OKEMOS RD, BIG RAPIDS, MI 49307
(231) 679-7164
Mailing address
20661 OKEMOS RD, BIG RAPIDS, MI 49307-8812
(231) 679-7164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704246779
MI
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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