SHANNON LORRAINE SAMUDIO

SCOTTSBLUFF, NE
NPI1457157521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-02-20
Last Update Date2025-02-20
Business Address
SHANNON LORRAINE SAMUDIO
1618 19TH AVE STE 1100
SCOTTSBLUFF, NE 69361-2738
Phone number: 308-630-2100
Mailing Address
SHANNON LORRAINE SAMUDIO
PO BOX 1327
SCOTTSBLUFF, NE 69363-1327
Phone number: 308-630-2100