Shannon M Clancy
Technician, Other in Westland, MI. Individual provider (NPI-1).
NPI number1306292255
StatusActive
Last updated in NPPESMay 10, 2016
Details
- NPI
- 1306292255
- Entity type
- Individual (NPI-1)
- Name
- Miss Shannon M Clancy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2016
- Last updated
- May 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | MI | Yes |
Practice location
37634 Jonquil CtWestland, MI 48185-1980
Phone 734-474-7594
Mailing address
37634 Jonquil CtWestland, MI 48185-1980
Phone 734-474-7594
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