Individual
SHANNON DAWN CHAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
346 LAKEVILLE CIR, PETALUMA, CA 94954-5723
(628) 233-3013
Mailing address
346 LAKEVILLE CIR, PETALUMA, CA 94954-5723
(628) 233-3013
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A140657
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD166551
OR
Other
Enumeration date
04/01/2010
Last updated
01/10/2022
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