Individual
SHANNON LUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 BONANZA LN, FALLON, NV 89406-9438
(775) 866-2570
Mailing address
1351 BONANZA LN, FALLON, NV 89406-9438
(775) 866-2570
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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