Individual
MRS. IRENE ELIZABETH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
8140 JASON AVE, WEST HILLS, CA 91304-3517
(818) 456-3235
Mailing address
8140 JASON AVE, WEST HILLS, CA 91304-3517
(818) 456-3235
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
140926
CA
183700000X
Pharmacy Technician
PT10285
NV
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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