Individual
SHANNON MENDOSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 RIDGE ST, APARTMENT 2, SAULT SAINTE MARIE, MI 49783-1863
(906) 440-2588
Mailing address
PO BOX 698, SAULT SAINTE MARIE, MI 49783-0698
(906) 630-0720
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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