Shanton L Faniel

NPI #1104399773 in Sodus, New York

Provider Information

NPI Number: 1104399773
Entity Type: Individual
Name: Shanton L Faniel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jan 7, 2019
Last Updated: Jan 7, 2019

Practice Location

Address: 5367 SOUTH ST
City: Sodus
State: New York
ZIP Code: 14551-9542
Phone: (315) 576-9434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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