Individual
MRS. SHANNON LEE YNFANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FIRST ASSISTANT
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
Mailing address
14006 DAHLIA DR, VICTORVILLE, CA 92392-5503
(951) 741-3068
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
587878
CA
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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