Individual
SHANNON YULENE CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(148) 051-5629
Mailing address
1600 SW ARCHER RD, BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
59671
MN
2084N0400X
Neurology Physician
Primary
67579
AZ
2084N0400X
Neurology Physician
ME136273
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2014
Last updated
07/18/2023
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