person
Shannon Salley
Other Specialist/Technologist in Fort Worth, Texas
NPI 1982370862

Shannon Salley is a Other Specialist/Technologist based in Fort Worth, TX. Shannon Salley practices in Fort Worth, TX. The NPI Number for Shannon Salley is 1982370862 and holds a License No. (Texas).

The current practice location address for Shannon Salley is 111 Boland St # 210, Fort Worth, TX and can be reached out via phone at 817-529-8514 and via fax at 469-453-5075.

Location: 111 Boland St # 210, Fort Worth, TX, 76107-1263
person
Provider Profile Details
NPI Number
1982370862
Provider Name
Shannon Salley
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Boland St # 210, Fort Worth, TX, 76107-1263
Phone Number
817-529-8514
Fax Number
469-453-5075
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1111111111 01 NOTAPPLICABLE
institution
Provider Business Practice Location Address Details
Address
111 Boland St # 210
City
State
Zip
76107-1263
Phone Number
817-529-8514
Fax Number
469-453-5075
person
Provider Business Mailing Address Details
Address
111 Boland St # 210
City
State
Zip
76107-1263
Phone Number
817-529-8514
Fax Number
469-453-5075
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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