Individual
SHANNEN PAMPOLINO ZAPANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR STE 201, ORANGE, CA 92868-3346
(714) 710-3505
Mailing address
265 S ANITA DR STE 201, ORANGE, CA 92868-3346
(714) 710-3505
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42317
CA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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