Individual
SHANNON ANDRADE CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27626 SEDONA WAY, CASTAIC, CA 91384-3580
(818) 538-0055
Mailing address
27626 SEDONA WAY, CASTAIC, CA 91384-3580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48656
CA
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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