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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTELL DA'SHAWN SHANNON

Active Sole Proprietor

MARTELL DA'SHAWN SHANNON is a Community/Behavioral Health healthcare provider located in LONG BEACH, California. NPI 1295362267 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · LONG BEACH, CA

Registration Details

NPI Number
1295362267
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2020 (6.4293628383626 yrs)
Last Updated
Mar 26, 2020
Sole Proprietor
Yes

Practice Information

Address
174 E 59TH ST
LONG BEACH, CA, 908053468
Browse CA providers · Browse ZIP 90805
Phone
5628417378
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in LONG BEACH, CA

Name Credential NPI
MAO HUN 1225504293
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.