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SHANNON SHONE

>> Home Health >> Agencies

Registrant NPI Number: 1588102875

Individual Registrant:
 SHANNON  SHONE 
Gender: F
Sole Proprietor

Location and contact information for practice:
2.5 MILES SW BLUE GAP STORE  BLUE GAP, AZ 86520 US
Tel: 505-507-9178  Fax: 928-725-3157

Contact information for business:
PO BOX 4260  BLUE GAP, AZ 86520-4260 US
Tel: 505-507-9178  Fax: 928-725-3157

Registration Information:
NPI: 1588102875
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251E00000XAgencies
Home Health
N343900000XTransportation Services
Non-emergency Medical Transport (VAN)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
010738AZ05




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