Individual
MS. AMBER THERESA SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3822 GARFIELD ST, CARLSBAD, CA 92008-4031
(760) 842-4215
Mailing address
241 FESTIVAL DR, OCEANSIDE, CA 92057-5135
(760) 216-2321
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B5302709
DRIVER LICENSE
CA
Enumeration date
09/21/2019
Last updated
09/21/2019
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