Individual
SHANNON M COHOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
56 COVE RD, CANANDAIGUA, NY 14424-2489
(315) 715-2650
Mailing address
56 COVE RD, CANANDAIGUA, NY 14424-2489
(315) 715-2650
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
824271-01
NY
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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