Individual
MS. SHANNON FAYE NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HYGIENIST
Contact information
Practice address
87 MERCHANT DR, MONTROSE, CO 81401-3015
(970) 252-8896
Mailing address
87 MERCHANT DR, MONTROSE, CO 81401-3015
(970) 252-8896
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002025313
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002025313
—
CO
Enumeration date
02/07/2019
Last updated
02/07/2019
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