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Individual
SHANNA L FREEMAN
Active
Individual
SHANNA L FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20639
CA
363L00000X
Nurse Practitioner
792044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326270877
NPI
—
Enumeration date
08/18/2009
Last updated
12/20/2019
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