Provider Demographics
NPI:1952987794
Name:SAENZ, SHANNA ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:SHANNA
Middle Name:ELIZABETH
Last Name:SAENZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 SUNRISE AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4583
Mailing Address - Country:US
Mailing Address - Phone:916-786-6055
Mailing Address - Fax:916-237-9934
Practice Address - Street 1:755 SUNRISE AVE STE 115
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4583
Practice Address - Country:US
Practice Address - Phone:916-786-6055
Practice Address - Fax:916-237-9934
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35041111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty