Martell Da'Shawn Shannon
Martell Da'Shawn Shannon is a Community/Behavioral Health Agency in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
174 E 59th StLong Beach, CA 90805-3468
Phone: (562) 841-7378
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1295362267 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2020 |
| Last updated in NPPES | March 26, 2020 |
| Certification date | March 26, 2020 |
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