Individual
ERIC SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
(760) 744-1382
Mailing address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
(760) 744-1382
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
221297
CA
Other
Enumeration date
04/04/2007
Last updated
07/09/2007
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