Individual
SHANNON L ODENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1497 ROYAL WAY APT 8, SAN LUIS OBISPO, CA 93405-6328
(805) 709-3942
Mailing address
1497 ROYAL WAY APT 8, SAN LUIS OBISPO, CA 93405-6328
(805) 709-3942
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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