Laura R Shattuckclements

NPI #1649004375 in Stanton, Michigan

Provider Information

NPI Number: 1649004375
Entity Type: Individual
Name: Laura R Shattuckclements
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Aug 27, 2024
Last Updated: Aug 27, 2024

Practice Location

Address: 611 N STATE ST
City: Stanton
State: Michigan
ZIP Code: 48888-9702
Phone: (989) 831-7520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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