Individual
SHANNON LYNN RIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
7200 SARANAC ST APT 52, LA MESA, CA 91942-8961
(619) 386-4290
Mailing address
7200 SARANAC ST APT 52, LA MESA, CA 91942-8961
(619) 386-4290
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/10/2017
Last updated
07/21/2022
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