Shannon Nicole Beauty
NPI #1104423714 in Pittsburg, Pennsylvania
Provider Information
- NPI Number
- 1104423714
- Entity Type
- Organization
- Organization Name
- Shannon Nicole Beauty
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Oct 5, 2021
Practice Location
- Address
- 239 FOURTH AVENUE STE 1401 #1462
- City
- Pittsburg
- State
- Pennsylvania
- ZIP Code
- 15222
- Phone
- (516) 418-4201
Authorized Official
- Name
- SHANNON PARKER
- Title
- OWNER
- Phone
- (516) 418-4201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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