Individual provider · Type 1 NPI
Imani L. Shannon
Driver · Stockton, CA
NPI number
1801671177
Active
Practice location
1919 Grand Canal Blvd
Stockton, CA 95207-8135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | F7077821 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
5 other providers at this address
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- Marianne Renee Caballero-Rodriguez, OT/L, CHTHand Occupational Therapist Stockton, CA NPI 1659383925
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About NPI 1801671177
Imani L. Shannon's National Provider Identifier is 1801671177, issued on Aug 25, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Stockton, CA. The record was last updated on Aug 25, 2023.