Individual
SHANNON MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
3001 L ST, SACRAMENTO, CA 95816-5225
(916) 706-1520
(916) 706-1551
Mailing address
3001 L ST, SACRAMENTO, CA 95816-5225
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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