Individual
MRS. SHANNON MICHELLE RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-6018
Mailing address
307 KATHLEEN DR, PLEASANT HILL, CA 94523-2219
(925) 708-8554
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
16801
CA
Other
Enumeration date
01/09/2007
Last updated
01/11/2022
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