Individual
SHANNA LEE BOOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2800 W 4TH ST APT 8-3B, SIOUX CITY, IA 51103-5134
(712) 223-4484
Mailing address
2800 W 4TH ST APT 8-3B, SIOUX CITY, IA 51103-5134
(712) 223-4484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P43711
IA
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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