Shannon Medina

NPI #1164682209 in West Fork, Arkansas

Provider Information

NPI Number
1164682209
Entity Type
Individual
Name
Shannon Medina
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 12, 2008
Last Updated
Apr 18, 2011

Practice Location

Address
363 MCKNIGHT AVE
ZIP Code
72774-0000
Phone
(479) 839-3035

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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