Individual
SHANNON QUESADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(735) 845-5095
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(735) 845-5095
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121730
MI
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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