SHANNON DIANE KRISA

ROCKLIN, CA
NPI1548351026
Former NameSHANNON DIANE LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA15668)
Enumeration Date2006-09-27
Last Update Date2015-07-27
Business Address
-- SHANNON DIANE KRISA PA-C
1160 SUNSET BLVD
ROCKLIN, CA 95765-3710
Phone number: 916-865-1000
Mailing Address
-- SHANNON DIANE KRISA PA-C
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071