Shannon Amy Kloosterman, TECHNICIAN

NPI #1225515083 in Ashland, Virginia

Provider Information

NPI Number
1225515083
Entity Type
Individual
Name
Shannon Amy Kloosterman, TECHNICIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist
Credential
TECHNICIAN
Enumeration Date
Jul 25, 2018
Last Updated
Jul 25, 2018

Practice Location

Address
9714 SLIDING HILL RD
ZIP Code
23005-7940
Phone
(252) 673-7736

Specialties & Taxonomy Codes

Specialty
Technician/Technologist

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