Individual
AIRALIA SHANE KEIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, LVN
Contact information
Practice address
4455 TWAIN AVE, SUITE H1, SAN DIEGO, CA 92120-3458
(619) 880-9433
Mailing address
5236 LEWISON AVE, SAN DIEGO, CA 92120-1265
(619) 880-9433
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN 229858
CA
176B00000X
Midwife
Primary
LM469
CA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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