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Melissa Shannon
Student in an Organized Health Care Education/Training Program in Eureka, California
NPI 1336420900

Melissa Shannon is a Student in an Organized Health Care Education/Training Program based in Arcata, CA. Melissa Shannon practices in Eureka, CA. The NPI Number for Melissa Shannon is 1336420900 and holds a License No. (California).

The current practice location address for Melissa Shannon is 2413 2Nd St, Eureka, CA and can be reached out via phone at 707-269-9590.

Location: 2413 2Nd St, Eureka, CA, 95521-5172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336420900
Provider Name
Melissa Shannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2413 2Nd St, Eureka, CA, 95521-5172
Phone Number
707-269-9590
Fax Number
Provider Enumeration Date
09/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2413 2Nd St
City
Eureka
State
California
Zip
95501-0811
Phone Number
707-269-9590
Fax Number
person
Provider Business Mailing Address Details
Address
2413 2Nd St
City
Eureka
State
California
Zip
95501-0811
Phone Number
707-269-9590
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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