Individual
SHANNON THERESA VECCHIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 790-1860
Mailing address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 790-1860
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
660516
CA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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