Most Relevant Information
Provider Data
| NPI Number: | 1003659905 |
| Provider Name: | SHANNON A STRILCOV CNA 3167 |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2024 |
| Last Updated: | 06/17/2024 |
Provider Practice Location
105 PLEASANT AVE N
SURREY
ND
587857101
Practice Location Phone/Fax
| Phone: | 7012600623 |
| Fax: |
Provider Mailing Location
PO BOX 128
SURREY
ND
587850128
Provider Mailing Phone/Fax
| Phone: | 7012600623 |
| Fax: |