Individual
ANDREA MARIE SHUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
34279 DEVLIN DR, BEAUMONT, CA 92223-7438
(951) 923-3535
Mailing address
34279 DEVLIN DR, BEAUMONT, CA 92223-7438
(951) 923-3535
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM589
CA
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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