SearchCalifornia225700000X

Shannon Innis-Gielissen, CMP, AIMI, CYI

NPI 1386005916 · on the registry since 2016 · sole proprietor

Practice

Address
6108 Jason Ct
Aptos, CA 95003
Phone
(831) 419-7552

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California