Individual
MRS. SHANNON LYNNE HIRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N THOMPSON AVE, NIPOMO, CA 93444-9086
(805) 474-3300
Mailing address
525 N THOMPSON AVE, NIPOMO, CA 93444-9086
(805) 474-3300
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
CA
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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