Individual
MS. CYNTHIA JAYNE SHALBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 E WASHINGTON BLVD, SUITE 100, CRESCENT CITY, CA 95531-8160
(707) 826-8633
Mailing address
550 E WASHINGTON BLVD, SUITE 100, CRESCENT CITY, CA 95531-8160
(707) 826-6633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500388
KS
363AM0700X
Medical Physician Assistant
1646
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-00388
KS STATE BOARD OF HEALING ARTS
KS
01
—
1646
OKLAHOMA STATE BOARD OF M
OK
Enumeration date
06/06/2006
Last updated
04/10/2017
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