Individual
AANSI SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32565 GOLDEN LANTERN ST STE B270, DANA POINT, CA 92629-3247
(657) 266-6019
Mailing address
32565 GOLDEN LANTERN ST STE B270, DANA POINT, CA 92629-3247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18893
CA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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