IMANI SHANNON

Driver

Active Individual
NPI: 1801671177

Practice Address

1919 GRAND CANAL BLVD
Stockton, CA 95207

Phone: (415) 423-4476

Specialties

Specialty Code Primary License
Driver 172A00000X Yes F7077821 (CA)

Frequently Asked Questions

NPI 1801671177 is the National Provider Identifier for IMANI SHANNON, a Driver provider located in Stockton, CA. This NPI was enumerated on August 25, 2023.
IMANI SHANNON practices at 1919 GRAND CANAL BLVD, Stockton, CA 95207.

Quick Facts

NPI
1801671177
Type
Individual
Enumerated
Aug 25, 2023
Last Updated
Aug 25, 2023

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