Individual
MARC ALAN SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4811 MANSFIELD ST, SAN DIEGO, CA 92116-1979
(619) 370-8537
Mailing address
4811 MANSFIELD ST, SAN DIEGO, CA 92116-1979
(619) 370-8537
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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