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SHANNON NICOLE SALAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2665
(813) 558-8070
Mailing address
10003 BRADWELL PL, TAMPA, FL 33626-5158
(813) 759-3688

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
162672
FL

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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