Roussos, Shannon

Roussos, Shannon is an individual health care provider with primary practice located at 2479 Mabry Dr , Sacramento CA 95835-1513. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Roussos, Shannon can be contacted via phone (443) 257-7846.

Contact Information

Primary practice address
2479 Mabry Dr Sacramento CA 95835-1513
Phone: (443) 257-7846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 675696 California

Profile Details

NPI number 1740068758
LBN Legal business name Roussos, Shannon
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2023
Last updated Sep 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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