MISS Shannon Van Dusen
NPI #1073754354 in Auburn, California
Provider Information
- NPI Number
- 1073754354
- Entity Type
- Individual
- Name
- MISS Shannon Van Dusen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 16, 2009
- Last Updated
- Mar 16, 2009
Practice Location
- Address
- 1254 HIGH ST
- City
- Auburn
- State
- California
- ZIP Code
- 95603-5015
- Phone
- (530) 889-9195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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