Individual
ANYA D'VORAH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 VISTA WAY STE 258, OCEANSIDE, CA 92056-4565
(760) 758-1480
Mailing address
3145 CARLSBAD BLVD APT 105, CARLSBAD, CA 92008-2911
(510) 301-2444
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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