Individual
MISS SHANNA MARIE CRONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,PHN
Contact information
Practice address
899 NORTHGATE DR, 104, SAN RAFAEL, CA 94903-3636
(415) 473-7805
(415) 473-6002
Mailing address
899 NORTHGATE DR, 104, SAN RAFAEL, CA 94903-3636
(415) 473-7805
(415) 473-6002
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
288992
CA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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