Shannon Wallace is a Specialist based in Bellerose, NY. Shannon Wallace practices in Bellerose, NY. The NPI Number for Shannon Wallace is 1588142574 and holds a License No. (New York).
The current practice location address for Shannon Wallace is 8777 254Th St, Bellerose, NY and can be reached out via phone at 347-324-2766.
Location: 8777 254Th St, Bellerose, NY, 11426-2329
Provider Profile Details
NPI Number
1588142574
Provider Name
Shannon Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
8777 254Th St, Bellerose, NY, 11426-2329
Phone Number
347-324-2766
Fax Number
Provider Enumeration Date
08/01/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
8777 254Th St
City
State
Zip
11426-2329
Phone Number
347-324-2766
Fax Number
Provider Business Mailing Address Details
Address
8777 254Th St
City
State
Zip
11426-2329
Phone Number
347-324-2766
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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