PETER JAMES SHANNON

SAN BERNARDINO, CA
NPI1710624168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  271686)
Enumeration Date2022-05-17
Last Update Date2022-05-17
Business Address
PETER JAMES SHANNON
349 W 11TH ST
SAN BERNARDINO, CA 92410-3513
Phone number: 909-381-3774
Mailing Address
PETER JAMES SHANNON
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number:
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