Search › California › 163WL0100X
Shannon Roussos, IBCLC
NPI 1740068758 · on the registry since 2023
Practice
- Address
- 2479 Mabry Dr
Sacramento, CA 95835 - Phone
- (443) 257-7846
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-20
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