Individual
SHANNON KOENDERS VELDKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
3577
MN
Other
Enumeration date
06/25/2018
Last updated
10/02/2023
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