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Individual

MR. SHANE DANIEL RHODES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM FACFAS

Contact information

Practice address
25078 PEACHLAND AVE, SUITE B, NEWHALL, CA 91321-2533
(661) 799-3668
(661) 799-3331
Mailing address
25078 PEACHLAND AVE, SUITE B, NEWHALL, CA 91321-2533
(661) 799-3668
(661) 799-3331

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4094
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E40941
CA
Enumeration date
12/30/2005
Last updated
07/11/2023
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