Individual
SHANNON LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(904) 252-5851
Mailing address
2125 EL LAGO WAY, JACKSONVILLE, FL 32224-2067
(904) 333-0775
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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