Individual
JANICE H. SHIGEHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
15004 INNOVATION DR, ROOM 2126, SAN DIEGO, CA 92128-3491
(858) 554-8571
(858) 626-7111
Mailing address
15004 INNOVATION DR, ROOM 2126, SAN DIEGO, CA 92128-3491
(858) 554-8571
(858) 626-7111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
343248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710000061
RAILROAD MEDIICARE
—
Enumeration date
10/04/2006
Last updated
09/23/2011
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