SHANNA ANN THOMSON

LAKEPORT, CA
NPI1598027658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  21890)
Enumeration Date2012-06-13
Last Update Date2012-06-13
Business Address
-- SHANNA ANN THOMSON NP
5335 LAKESHORE BLVD
LAKEPORT, CA 95453-6123
Phone number: 707-263-7725
Mailing Address
-- SHANNA ANN THOMSON NP
100 N FORBES ST
LAKEPORT, CA 95453-4708
Phone number: 208-315-3236