SHANNON LAREE ST. CLAIR

BELLINGHAM, WA
NPI1881030997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IA  MD-46705)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: NV  18482)
2085R0202X Radiology, Diagnostic Radiology
(Licence: WY  13105C)
2085R0202X Radiology, Diagnostic Radiology
(Licence: WA  MD61018445)
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME167776)
2085R0202X Radiology, Diagnostic Radiology
(Licence: GU  M-2419)
2085R0202X Radiology, Diagnostic Radiology
(Licence: ND  16254)
2085R0202X Radiology, Diagnostic Radiology
(Licence: GU  MTL-2023-026)
Enumeration Date2013-05-15
Last Update Date2025-03-20
Business Address
SHANNON LAREE ST. CLAIR MD
718 POPLAR DR
BELLINGHAM, WA 98226-4410
Phone number: 833-228-6889
Mailing Address
SHANNON LAREE ST. CLAIR MD
1010 N 102ND ST STE 201
OMAHA, NE 68114-2122
Phone number: 833-228-6889