Individual
MRS. SHELLEY R HASSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
29099 HOSPITAL ROAD, SUITE 204B, LAKE ARROWHEAD, CA 92352
(909) 337-7771
(909) 337-5353
Mailing address
PO BOX 2482, RUNNING SPRINGS, CA 92382-2482
(909) 867-2814
(909) 337-5353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
626568
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
20149
CA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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