Individual
SHANNA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W STATE ST STE 3D, REDLANDS, CA 92373-4653
(909) 566-9669
Mailing address
22315 BLUE LUPINE CIR, GRAND TERRACE, CA 92313-5481
(909) 435-8198
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020518
CA
Other
Enumeration date
02/04/2019
Last updated
10/21/2022
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