SHANNON HA DUYEN SICAT

ORANGE, CA
NPI1225677198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  95012984)
Enumeration Date2019-12-24
Last Update Date2019-12-24
Business Address
SHANNON HA DUYEN SICAT NP
2617 E CHAPMAN AVE STE 109
ORANGE, CA 92869-3245
Phone number: 714-847-6900
Mailing Address
SHANNON HA DUYEN SICAT NP
10960 BARCELONA CT # 5
GARDEN GROVE, CA 92840-5162
Phone number: 714-423-2371