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Madeline Shannon
NPI 1831699800 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1455 N Melrose Dr Apt 114
Vista, CA 92083 - Phone
- (818) 425-7447
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Sex
- Female
- Record last updated
- 2018-02-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California