SHANNON VIDACAK

SALEM, NH
NPI1972871101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  38537)
Enumeration Date2011-12-02
Last Update Date2011-12-02
Business Address
-- SHANNON VIDACAK LPN
2 KEEWAYDIN DR
SALEM, NH 03079-2839
Phone number: 800-995-2673
Mailing Address
-- SHANNON VIDACAK LPN
2 KEEWAYDIN DR
SALEM, NH 03079-2839
Phone number: 800-995-2673
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