SHANNON RAYE LOGUE

SAN DIEGO, CA
NPI1134920218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2025-03-24
Last Update Date2026-06-25
Business Address
SHANNON RAYE LOGUE
PO BOX 710145
SAN DIEGO, CA 92171-0145
Phone number: 619-346-4020
Mailing Address
SHANNON RAYE LOGUE
PO BOX 710145
SAN DIEGO, CA 92171-0145
Phone number: 619-346-4020