MADELINE TERESA SHANNON

VISTA, CA
NPI1831699800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-02-16
Last Update Date2018-02-16
Business Address
MADELINE TERESA SHANNON
1455 N MELROSE DR APT 114
VISTA, CA 92083-4875
Phone number: 818-425-7447
Mailing Address
MADELINE TERESA SHANNON
1455 N MELROSE DR APT 114
VISTA, CA 92083-4875
Phone number: 818-425-7447