Individual
SHANNON MARIE PADLOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA), B.S.
Contact information
Practice address
119 CAHILL PARK DR, SAN JOSE, CA 95126-4845
(408) 464-7683
Mailing address
119 CAHILL PARK DR, SAN JOSE, CA 95126-4845
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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