SHANNON HUSEBO

ALLENTOWN, PA
NPI1174920524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA056961)
Additional Taxonomies363A00000X Physician Assistant
(Licence: PA  OA003440)
Enumeration Date2014-12-01
Last Update Date2015-12-24
Business Address
-- SHANNON HUSEBO PA-C
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103-6202
Phone number: 484-862-3232
Mailing Address
-- SHANNON HUSEBO PA-C
PO BOX 783311
PHILADELPHIA, PA 19178-3311
Phone number: