SHANNAN VAN HOUTEN

MODESTO, CA
NPI1740409168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA21438)
Enumeration Date2007-04-24
Last Update Date2012-11-18
Business Address
-- SHANNAN VAN HOUTEN PA
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-681-2870
Mailing Address
-- SHANNAN VAN HOUTEN PA
PO BOX 575
ESCALON, CA 95320-0575
Phone number: 209-681-2870
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