SHANA PUTNAM

FONTANA, CA
NPI1144535980
Former NameSHANA WANG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22069)
Enumeration Date2010-08-17
Last Update Date2021-10-27
Business Address
SHANA PUTNAM PA-C
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-724-2321
Mailing Address
SHANA PUTNAM PA-C
523 EMERSON ST
UPLAND, CA 91784-1341
Phone number: 626-235-3845
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