Individual
SHANNON ALEXIS DAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6110
Mailing address
16 SPENCER AVE, SALEM, NH 03079-4213
(978) 314-4482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2312630
MA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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