Individual
MRS. LA NEICE LORRAINE ABDEL-SHAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
101 BODIN CIR, DAVID GRANT MEDICAL CENTER, TRAVIS AFB, CA 94535-1809
(707) 423-5406
(707) 423-7356
Mailing address
101 BODIN CIR, WOMEN'S HEALTH, TRAVIS AFB, CA 94535-1809
(707) 423-5406
(707) 423-7356
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
704600
CA
367A00000X
Advanced Practice Midwife
Primary
1906
CA
Other
Enumeration date
12/12/2006
Last updated
11/03/2014
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