Individual
SHANNON BREHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
Mailing address
10527 SW RUFUS WALDEN RD, CLARKSVILLE, FL 32430-3011
(850) 866-8065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5234491
FL
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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