Individual
SHANNON CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
2550 PEGASUS DR, FAIRBANKS, AK 99712-3272
(702) 235-9985
Mailing address
2550 PEGASUS DR, FAIRBANKS, AK 99712-3272
(702) 235-9985
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
19-1820
AZ
175F00000X
Naturopath
191955
AK
Other
Enumeration date
10/02/2019
Last updated
05/24/2023
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