Shannon Stallone is a student in an organized health care education training program in San Rafael, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shannon Stallone NPI is 1104517119. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA
ZIP 94901-142
Phone: (415) 459-5999
The enumeration date for this NPI number is 5/19/2023 and was last updated on 5/19/2023.