Individual
MS. CAROL ANN FORD SHINTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
21886 WINNEBAGO LN, LAKE FOREST, CA 92630-2321
(949) 855-6279
Mailing address
21886 WINNEBAGO LN, LAKE FOREST, CA 92630-2321
(949) 855-6279
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
401713
CA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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