Individual
ERIN SHORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 445-7800
Mailing address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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