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Imani L Shannon
Driver in Stockton, California
NPI 1801671177

Imani L Shannon is a Driver based in Stockton, CA. Imani L Shannon practices in Stockton, CA. The NPI Number for Imani L Shannon is 1801671177 and holds a License No. F7077821 (California).

The current practice location address for Imani L Shannon is 1919 Grand Canal Blvd, Stockton, CA and can be reached out via phone at 415-423-4476.

Location: 1919 Grand Canal Blvd, Stockton, CA, 95207-8135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801671177
Provider Name
Imani L Shannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1919 Grand Canal Blvd, Stockton, CA, 95207-8135
Phone Number
415-423-4476
Fax Number
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1919 Grand Canal Blvd
City
Stockton
State
California
Zip
95207-8135
Phone Number
415-423-4476
Fax Number
person
Provider Business Mailing Address Details
Address
1919 Grand Canal Blvd
City
Stockton
State
California
Zip
95207-8135
Phone Number
415-423-4476
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
F7077821 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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