Individual
SHANNON UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
936 W MAIN ST, MERCED, CA 95340-4519
(209) 285-9002
Mailing address
4914 LINCOLN BLVD, LIVINGSTON, CA 95334-9640
(209) 620-2005
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
95052240
CA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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