Individual
SHALECIA TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
7415 W BOSTON ST, CHANDLER, AZ 85226-3221
(480) 886-9400
Mailing address
26683 MARK TWAIN CT, MENIFEE, CA 92586-4848
(951) 723-0950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
266199
AZ
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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