Individual
SHAWN RICHARD ONEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5979 TROTTERS LN, ALTA LOMA, CA 91701-2644
(909) 319-7920
Mailing address
5979 TROTTERS LN, ALTA LOMA, CA 91701-2644
(909) 319-7920
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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