Shannon Martin
NPI #1073048617 in Panorama City, California
Provider Information
- NPI Number
- 1073048617
- Entity Type
- Individual
- Name
- Shannon Martin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 20, 2017
- Last Updated
- Apr 20, 2017
Practice Location
- Address
- 13652 CANTARA ST
- City
- Panorama City
- State
- California
- ZIP Code
- 91402-5423
- Phone
- (818) 267-5446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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