Individual
SHANNON V VICKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7148
Mailing address
BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7148
Taxonomy
Speciality
Code
Description
License number
State
1744R1103X
Research Study Abstracter/Coder
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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