Individual
SHELLEY DIANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1 SHEMRAN CT, FAIRFAX, CA 94930-1321
(415) 721-0120
(415) 353-1076
Mailing address
1 SHEMRAN CT, FAIRFAX, CA 94930-1321
(415) 721-0120
(415) 353-1076
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
468075
CA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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