Individual
IRISH SHANE TAPICERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10322 PARK ST, BELLFLOWER, CA 90706-6029
(310) 606-0998
Mailing address
10322 PARK ST, BELLFLOWER, CA 90706-6029
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95030930
CA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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