Individual
SHAYN SHROPSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
US NAVY IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(661) 330-7573
Mailing address
9892 SUMMERSUN LN, LAKESIDE, CA 92040-2929
(661) 330-7573
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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