Individual
SHELLEY RENEE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29229 CENTRAL AVE # 33, LAKE ELSINORE, CA 92532-2248
(951) 268-9023
Mailing address
32295 MISSION TRL STE R8 #255, LAKE ELSINORE, CA 92530-2306
(909) 904-2146
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
568949
CA
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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