Individual
ERNESTINE SHEGOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4176 MISTY ELM CT, SANTA MARIA, CA 93455-3304
(805) 275-2074
(805) 275-1616
Mailing address
4176 MISTY ELM CT, SANTA MARIA, CA 93455-3304
(805) 275-2074
(805) 275-1616
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN137017
CA
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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