Individual
SHANNON CRITTENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 ROANOKE AVE, REDDING, CA 96001-3106
(530) 782-8848
Mailing address
1849 ROANOKE AVE, REDDING, CA 96001-3106
(530) 782-8848
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
06/02/2021
Last updated
06/02/2021
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