SHANNON LYN MANLEY

OAKLAND, CA
NPI1780149153
Former NameSHANNON JORDAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95010607)
Enumeration Date2019-02-09
Last Update Date2019-02-28
Business Address
SHANNON LYN MANLEY FNP-BC
3900 PIEDMONT AVE
OAKLAND, CA 94611-5352
Phone number: 415-432-7899
Mailing Address
SHANNON LYN MANLEY FNP-BC
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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