SearchVirginia156F00000X

Shannon Kloosterman, TECHNICIAN

NPI 1225515083 · on the registry since 2018 · sole proprietor

Practice

Address
9714 Sliding Hill Rd
Ashland, VA 23005
Phone
(252) 673-7736
Organisation at this address
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
156F00000X
156F00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia