SHANNON MICHAEL GENNETTE

SAN JOSE, CA
NPI1336786144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95012678)
Enumeration Date2019-11-30
Last Update Date2019-11-30
Business Address
SHANNON MICHAEL GENNETTE
751 S BASCOM AVE
SAN JOSE, CA 95128-2699
Phone number: 408-885-2454
Mailing Address
SHANNON MICHAEL GENNETTE
751 S BASCOM AVE
SAN JOSE, CA 95128-2699
Phone number: 408-885-2454
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