SHANNON BLACK
Adult Companion
Active
Individual
NPI: 1588345383
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Adult Companion | 372600000X | Yes | - |
Frequently Asked Questions
NPI 1588345383 is the National Provider Identifier for SHANNON BLACK, a Adult Companion provider located in Kingstree, SC. This NPI was enumerated on July 26, 2023.
SHANNON BLACK practices at 7 WINCHESTER RD, Kingstree, SC 29556.
Quick Facts
- NPI
- 1588345383
- Type
- Individual
- Enumerated
- Jul 26, 2023
- Last Updated
- Jul 26, 2023
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