SHANNON FANNING

TYNDALL, SD
NPI1144913914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-05-30
Last Update Date2023-05-30
Business Address
SHANNON FANNING
309 E 17TH AVE
TYNDALL, SD 57066-2228
Phone number: 605-933-1681
Mailing Address
SHANNON FANNING
309 E 17TH AVE
TYNDALL, SD 57066-2228
Phone number: 605-933-1681