Martin, Shannon
Martin, Shannon is an sole proprietor health care provider with primary practice located at 22346 Hawthorn Ave , Moreno Valley CA 92553-6988. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Martin, Shannon can be contacted via phone (951) 842-9579.Contact Information
Primary practice address
22346 Hawthorn Ave
Moreno Valley CA 92553-6988
Phone: (951) 842-9579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 266499 | California |
Profile Details
| NPI number | 1952846537 |
|---|---|
| LBN Legal business name | Martin, Shannon |
| Credentials | Licensed Visiting Nurse (LVN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2017 |
| Last updated | Jan 5th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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