Individual
SHANNON R MONHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 HORRUM ST, DIX, NE 69133-8960
(308) 682-5226
Mailing address
PO BOX 149, DIX, NE 69133-0149
(308) 682-5226
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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