Individual
MARJORIE SHELTON-GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1469 HUMBOLDT RD, SUITE 200, CHICO, CA 95928-9116
(530) 891-1917
Mailing address
1442 ETHAN WAY, SUITE 200, SACRAMENTO, CA 95825-2231
(916) 481-8600
(916) 481-9636
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
G455730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70116G
—
CA
05
—
CMM70268F
—
CA
05
—
CMM70370F
—
CA
05
—
ZZR11629F
—
CA
Enumeration date
05/04/2007
Last updated
12/01/2014
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