MISS Shannon Elizabeth Klvana
NPI #1144565516 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1144565516
- Entity Type
- Individual
- Name
- MISS Shannon Elizabeth Klvana
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 11, 2012
- Last Updated
- Dec 11, 2012
Practice Location
- Address
- 30 LAKEWOOD AVE
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-5620
- Phone
- (631) 379-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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