Individual
SHANNON HA DUYEN SICAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2617 E CHAPMAN AVE STE 109, ORANGE, CA 92869-3245
(714) 847-6900
Mailing address
10960 BARCELONA CT # 5, GARDEN GROVE, CA 92840-5162
(714) 423-2371
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95012984
CA
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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