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Shannon White

NPI 1972035731 · on the registry since 2017 · sole proprietor

Practice

Address
2101 Courage Dr
Fairfield, CA 94533
Phone
(707) 639-4675
Fax
(707) 639-4700
Organisation at this address
County Of Solano
County Of Solano
County Of Solano
County Of Solano
County Of Solano
Inferred from a shared address, not stated in the registry.
Clinicians at this address
420

Additional practice sites

  • 2401 Waterman Blvd # A4-309, Fairfield, CA

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-05

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