SHASHONK ILLAM

NEWPORT BEACH, CA
NPI1104432228
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-09-23
Last Update Date2020-09-23
Business Address
Mr. SHASHONK ILLAM
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660-2194
Phone number: 949-743-1457
Mailing Address
Mr. SHASHONK ILLAM
1400 BARTON RD APT 115
REDLANDS, CA 92373-5481
Phone number: 424-345-5589
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