SHANNON WAGNER

CONCORD, CA
NPI1467590737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
-- SHANNON WAGNER
2086 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-827-0212
Mailing Address
-- SHANNON WAGNER
3413 SMOKETREE COMMONS
PLEASANTON, CA 94566-7963
Phone number: 310-809-1351