Individual
GRACE SHIN-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(661) 476-7335
Mailing address
315 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
745171
CA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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