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Individual

IVY SHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
11234 ANDERSON ST STE A504, LOMA LINDA, CA 92350-1716
(917) 331-1688
Mailing address
11234 ANDERSON ST STE A504, LOMA LINDA, CA 92350-1716
(917) 331-1688

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
576394-1
NY
163W00000X
Registered Nurse
95370913
CA
367500000X
Certified Registered Nurse Anesthetist
123656
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95002362
CA

Other

Enumeration date
07/16/2018
Last updated
01/23/2025
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