Individual
SHANNON KATHLEEN OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31955 STATE ROUTE 20, SUITE 3, OAK HARBOR, WA 98277-5211
(718) 772-3147
Mailing address
31955 STATE ROUTE 20, SUITE 3, OAK HARBOR, WA 98277-5211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2292834
NY
174400000X
Specialist
—
NY
Other
Enumeration date
03/12/2014
Last updated
11/07/2018
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