Individual
KEVAN LEWIS SHURTLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
7197 BROCKTON AVE, SUITE 3, RIVERSIDE, CA 92506-2637
(951) 683-6606
(951) 369-0570
Mailing address
7197 BROCKTON AVE, SUITE 3, RIVERSIDE, CA 92506-2637
(951) 683-6606
(951) 369-0570
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1453
CA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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