Individual
SHANNON PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6250 M 66 N, CHARLEVOIX, MI 49720-9272
(231) 547-5885
Mailing address
6250 M 66 N, CHARLEVOIX, MI 49720-9272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704310676
MI
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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