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Search › California › 104100000X

Shannon Lee Pacaoan

NPI 1770951220 · on the registry since 2015 · sole proprietor

Practice

Address
2925 Mcmillan Ave Ste 108
San Luis Obispo, CA 93401
Phone
(805) 781-4966
Organisation at this address
San Luis Obispo County
County Of San Luis Obispo
Economic Opportunity Commission Of San Luis Obispo, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2016-10-13

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