Individual
SHAWN MICHELLE LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4187
(858) 613-4262
Mailing address
2406 MCDOUGAL PL, ALPINE, CA 91901-1407
(619) 659-8493
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95001797
CA
Other
Enumeration date
12/03/2014
Last updated
04/09/2019
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