| NPI | 1740358605 |
|---|---|
| Former Name | LE'ANNA SHANNON STJOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-889) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17603) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-02-06 |