Individual
SHENNA HAILA BANNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12 AUCOCISCO LN, HARPSWELL, ME 04079-4261
(413) 454-7897
Mailing address
12 AUCOCISCO LN, HARPSWELL, ME 04079-4261
(413) 454-7897
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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