Shannon Lynnette Enrico
Student in an Organized Health Care Education/Training Program in Sacramento, CA. Individual provider (NPI-1).
NPI number1104713619
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1104713619
- Entity type
- Individual (NPI-1)
- Name
- Shannon Lynnette Enrico
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2025
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Shannon Lynnette Lee (Former Name)
Practice location
5513 Prim CtSacramento, CA 95820-5154
Phone 530-913-5804
Mailing address
5513 Prim CtSacramento, CA 95820-5154
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