Individual
ANNEMARIE SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6931 VAN NUYS BLVD, 3RD FLOOR, VAN NUYS, CA 91405-3937
(818) 374-6901
(818) 373-4830
Mailing address
24023 CAPE MAY CT, VALENCIA, CA 91355-3317
(661) 290-2409
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
S113692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7322-A
COUNTY PROVIDER
CA
Enumeration date
10/11/2007
Last updated
10/29/2007
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