Individual
JOYCLYN SHINMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP, BOCO
Contact information
Practice address
4849 LONE TREE WAY, STE. A & B, ANTIOCH, CA 94531-8644
(925) 754-1804
Mailing address
4849 LONE TREE WAY, STE. A & B, ANTIOCH, CA 94531-8644
(925) 754-1804
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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