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NPI Code Detail

MEDICARE: SHANNON TAMAYO

MEDICARE: SHANNON TAMAYO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1568397339
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON TAMAYO
Provider Business Mailing Address
First Line : 9500 FLUSHING QUAIL RD UNIT 500
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 FLUSHING QUAIL RD UNIT 500
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2656
Country : US
Telephone Number : 661-393-4022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ SHANNON TAMAYO ” Practice Location

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