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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON AMY KLOOSTERMAN, TECHNICIAN

Active Sole Proprietor

SHANNON AMY KLOOSTERMAN, TECHNICIAN is a Optician healthcare provider located in ASHLAND, Virginia. NPI 1225515083 is currently active in the NPPES registry. Verify at CMS.

Optician · ASHLAND, VA

Registration Details

NPI Number
1225515083
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2018 (8.0627470189799 yrs)
Last Updated
Jul 25, 2018
License
24915 (NC)
Sole Proprietor
Yes

Practice Information

Address
9714 SLIDING HILL RD
ASHLAND, VA, 230057940
Browse VA providers · Browse ZIP 23005
Phone
2526737736
Primary Specialty
Optician
156F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.