Search › California › 101YP2500X
Shannon Breckenridge
NPI 1548669500 · on the registry since 2014
Practice
- Address
- 1800 Tully Rd # Stua-2
Modesto, CA 95350 - Phone
- (209) 622-1420
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-15
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