Individual
SHANNON MAGUIRE-ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 626-2793
Mailing address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 626-2793
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95095687
CA
163WC1500X
Community Health Registered Nurse
95095687
CA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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