Individual
SHANNON MICHELLE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8600
Mailing address
5451 WALNUT AVE, CHINO, CA 91710-2609
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2022008407
CA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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