SHANNAN ROTRUCK

PEARL HARBOR, HI
NPI1255753455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704244122)
Enumeration Date2014-01-08
Last Update Date2022-11-02
Business Address
SHANNAN ROTRUCK CRNA
480 CENTRAL AVE
PEARL HARBOR, HI 96860-4908
Phone number: 808-474-4242
Mailing Address
SHANNAN ROTRUCK CRNA
3 BAYSHORE CT
GAITHERSBURG, MD 20878-1979
Phone number: 850-449-9228
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