Individual
SHANNON LYNETTE ERMSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 UNIVERSITY AVE, RIVERSIDE, CA 92501-3199
(951) 465-2135
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 509-2499
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
08/17/2020
Last updated
05/17/2023
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