Individual
SHIN NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN, MPH
Contact information
Practice address
5256 MISSION BLVD, RIVERSIDE, CA 92509-4624
(951) 955-5326
Mailing address
4065 COUNTY CIRCLE DR STE 208, RIVERSIDE, CA 92503-3410
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
844268
CA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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