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Search › California › 101YA0400X

Shannon Eworonsky

NPI 1528307717 · on the registry since 2013 · sole proprietor

Practice

Address
44199 Monroe St
Indio, CA 92201
Phone
(760) 770-2286
Fax
(760) 770-2240
Organisation at this address
County Of Riverside
County Of Riverside
County Of Riverside
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
124

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-21

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