Individual
MR. SHANNON HOWARD LOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
RR 2 BOX 6, CLINTWOOD, VA 24228-9606
(276) 926-4234
Mailing address
RR 2 BOX 6, CLINTWOOD, VA 24228-9606
(276) 926-4234
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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