Individual
SHANNON RITENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6040
(863) 386-6048
Mailing address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6040
(863) 386-6048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5215590
FL
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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