SHANNON BAGNASCO

MENIFEE, CA
NPI1235554510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95000377)
Enumeration Date2014-02-24
Last Update Date2014-02-24
Business Address
-- SHANNON BAGNASCO
26926 CHERRY HILLS BLVD SUITE B
MENIFEE, CA 92586-2500
Phone number: 951-216-2200
Mailing Address
-- SHANNON BAGNASCO
425 N DATE ST
ESCONDIDO, CA 92025-3413
Phone number: 760-737-6960