Shannon M Mooney PAC

NPI 1487809083 - Physician Assistant - 363A00000X

NPI Details
NPI 1487809083
Gender Female
Enumeration Date 11/24/2008
Last Updated 11/18/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
13 LODER ST
WELLSVILLE NY, 14895, US
Phone (585) 596-4088
Fax
Business Location
13 LODER ST
WELLSVILLE NY, 14895-1112, US
Phone (585) 596-4088
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 013006-1
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According to our database, Shannon M Mooney PAC NPI is 1487809083, taxonomy code is 363A00000X and license number is 013006-1, license state is located at New York. Shannon M Mooney PAC physically located at 13 Loder St, Wellsville NY, 14895. NPI Number Shannon M Mooney PAC has the Individual type.

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1487809083 NPI number is provided on an as is basis without warranty of any kind. 1487809083 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon M Mooney PAC are for informational purposes only.