SHANNON LOTESS WILSON

JAMAICA, NY
NPI1033402268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  305227)
Enumeration Date2011-05-20
Last Update Date2011-05-20
Business Address
-- SHANNON LOTESS WILSON LPN
16834 127TH AVE 6A
JAMAICA, NY 11434-3148
Phone number: 804-908-3835
Mailing Address
-- SHANNON LOTESS WILSON LPN
168-34 127TH AVE 6A
JAMAICA, NY 11434-3108
Phone number: 804-908-3835
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