Individual
JACK SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
330 N ST APT 18, SACRAMENTO, CA 95814-4302
(916) 470-2292
Mailing address
330 N ST APT 18, SACRAMENTO, CA 95814-4302
(916) 470-2292
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
699969
CA
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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