Individual
ELIZABETH SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1580 1ST ST, NAPA, CA 94559-2841
(707) 258-8757
Mailing address
1580 1ST ST, NAPA, CA 94559-2841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
173299
CA
Other
Enumeration date
04/22/2016
Last updated
08/09/2021
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