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Individual

LAKEISHA SHATARA FALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
1305 BEAR MOUNTAIN BLVD, ARVIN, CA 93203-1231
(661) 854-3131
Mailing address
1305 BEAR MOUNTAIN BLVD, ARVIN, CA 93203-1231
(661) 854-3131

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
125340
AR
363L00000X
Nurse Practitioner
Primary
95022027
CA

Other

Enumeration date
06/03/2020
Last updated
11/28/2022
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