Shannon Bagnasco

NPI #1235554510 in Menifee, California

Provider Information

NPI Number
1235554510
Entity Type
Individual
Name
Shannon Bagnasco
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Feb 24, 2014
Last Updated
Feb 24, 2014

Practice Location

Address
26926 CHERRY HILLS BLVD
Address 2
SUITE B
ZIP Code
92586-2500
Phone
(951) 216-2200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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