SHANNON JIM

TUBA CITY, AZ
NPI1700315967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: AZ  CNA1000047755)
Enumeration Date2017-06-09
Last Update Date2017-06-09
Business Address
SHANNON JIM CNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
SHANNON JIM CNA
PO BOX 600 PFS BUSINESS OFFICE
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
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