Individual
JANICE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
129 WYLIE ST, CHESTER, SC 29706-1786
(803) 230-0118
Mailing address
129 WYLIE ST, CHESTER, SC 29706-1786
(803) 230-0118
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
23161
SC
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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