Individual
GRETA M. SHAW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG 500, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
8117 W MANCHESTER AVE, STE 221, PLAYA DEL REY, CA 90293-8745
(310) 574-4977
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
402836
CA
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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