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Individual

MS. SHELLY ANNE FERRARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
623 N CULLEN AVE, GLENDORA, CA 91741-2124
(626) 963-9992
Mailing address
623 N CULLEN AVE, GLENDORA, CA 91741-2124
(626) 963-9992

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
19763
CA

Other

Enumeration date
05/25/2010
Last updated
05/25/2010
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