Individual
SHANNON MAE MEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43250 MIDNIGHT CT, BANNING, CA 92220-9565
(951) 922-1725
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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