Individual
ANA MARIA SHADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 952-6223
Mailing address
352 HIDDEN LAKE LN, VISTA, CA 92084-1734
(619) 952-6223
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95104819
CA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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