Shannon Sue Hare
Technician, Other in Novi, MI. Individual provider (NPI-1).
NPI number1982155172
StatusActive
Last updated in NPPESOct 22, 2016
Details
- NPI
- 1982155172
- Entity type
- Individual (NPI-1)
- Name
- Shannon Sue Hare
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2016
- Last updated
- Oct 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-299-0030
Mailing address
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-299-0030
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