Individual
MS. MARCEY ELLEN SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16 PRIVATE DRIVE 1103, EMBUDO, NM 87531
(510) 525-2200
(510) 526-9648
Mailing address
PO BOX 247, EMBUDO, NM 87531-0247
(510) 525-2200
(510) 526-9648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G083515
CA
Other
Enumeration date
11/20/2006
Last updated
09/07/2023
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