Individual
SHANNON BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 E LOS COYOTES DIAGONAL APT 1, LONG BEACH, CA 90815-2838
(530) 210-4554
(530) 210-4554
Mailing address
4908 E LOS COYOTES DIAGONAL APT 1, LONG BEACH, CA 90815-2838
(530) 210-4554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
03/17/2018
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