MICHAEL SHANNON

ANCHORAGE, AK
NPI1871105213
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  152821)
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
MICHAEL SHANNON LPN
1015 E 6TH AVE
ANCHORAGE, AK 99501-2748
Phone number: 907-276-6430
Mailing Address
MICHAEL SHANNON LPN
1015 E 6TH AVE
ANCHORAGE, AK 99501-2748
Phone number: 907-276-6430