Individual
SHANNON BENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1519 32ND ST UNIT B, OAKLAND, CA 94608-4003
(510) 229-7543
Mailing address
1519 32ND ST UNIT B, OAKLAND, CA 94608-4003
(510) 229-7543
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
24772
CA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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