SHANNON JEAN MILLS

MINEOLA, NY
NPI1568003879
Former NameSHANNON LEONARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  024197)
Enumeration Date2019-10-08
Last Update Date2022-10-06
Business Address
SHANNON JEAN MILLS
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
Mailing Address
SHANNON JEAN MILLS
14 WALL ST FL 9
NEW YORK, NY 10005-2178
Phone number: