Shannon Tabaka, SW
Shannon Tabaka, SW is a Lodging Provider in Zimmerman, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2025
Practice location Address checks out
12714 Fremont AveZimmerman, MN 55398-9406
Phone: (763) 732-2065
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Lodging Provider (primary) | Taxonomy 177F00000X · Licence FBL4413164383 (MN) |
|---|
Record details
| NPI number | 1992680615 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SW |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2025 |
| Last updated in NPPES | August 11, 2025 |
| Certification date | August 11, 2025 |