Individual
SHANNON LEE JINJOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15640 VISTA WAY UNIT 110, LAKE ELSINORE, CA 92532-0439
(951) 551-8180
Mailing address
15640 VISTA WAY UNIT 110, LAKE ELSINORE, CA 92532-0439
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
769308
CA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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