Individual provider · Type 1 NPI
Shanton L. Faniel
Driver · Sodus, NY
NPI number
1104399773
Active
Practice location
5367 South St
Sodus, NY 14551-9542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1104399773
Shanton L. Faniel's National Provider Identifier is 1104399773, issued on Jan 7, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Sodus, NY. The record was last updated on Jan 7, 2019.