Individual
SHANNON KILLIAN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
6125 W PINEDALE AVE, FRESNO, CA 93722-2639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000756
CA
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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