Individual
GRACIELA FERNANDEZ DE SHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3115 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-2382
Mailing address
3433 W SHAW AVE STE 102, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95163440
CA
Other
Enumeration date
05/18/2018
Last updated
01/15/2025
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