Individual
SHANNON OUTCHCUNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 MIRASOL DR, BOURNE, MA 02532-5680
(508) 577-4193
Mailing address
59 MIRASOL DR, BOURNE, MA 02532-5680
(508) 577-4193
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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