Individual
MR. SHAKAN ERIC KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 834-6913
Mailing address
1127 W 5TH ST, SANTA ANA, CA 92703-3801
(714) 423-5602
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95187491
CA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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