Individual
SHANNON ETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 3RD ST # 551, OAKLAND, CA 94607-4375
(510) 205-6707
Mailing address
248 3RD ST # 551, OAKLAND, CA 94607-4375
(510) 205-6707
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
465422495
CA
Other
Enumeration date
04/17/2014
Last updated
04/18/2014
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