Most Relevant Information
Provider Data
| NPI Number: | 1003433137 |
| Provider Name: | SHAWNA MICHAELE MONGIOVI RADT I |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | R1375050120 |
Most Important Dates
| Enumeration Date: | 07/06/2020 |
| Last Updated: | 08/31/2023 |
Provider Practice Location
1330 N INDIAN CANYON DR
PALM SPRINGS
CA
922624880
Practice Location Phone/Fax
| Phone: | 7603229065 |
| Fax: |
Provider Mailing Location
1330 N INDIAN CANYON DR
PALM SPRINGS
CA
922624880
Provider Mailing Phone/Fax
| Phone: | 7603229065 |
| Fax: | 7603229065 |