Shanna Peretta Thompson, FSP

NPI #1942715198 in Antlers, Oklahoma

Provider Information

NPI Number: 1942715198
Entity Type: Individual
Name: Shanna Peretta Thompson, FSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: FSP
Enumeration Date: Dec 11, 2017
Last Updated: Dec 11, 2017

Practice Location

Address: 107 S HIGH ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-3818
Phone: (580) 298-2830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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