SHANNON FAETH

ROCK ISLAND, IL
NPI1275029175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: IL  041465792)
Enumeration Date2018-07-03
Last Update Date2018-07-03
Business Address
SHANNON FAETH
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
Mailing Address
SHANNON FAETH
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031