Individual
MR. JEFFREY SHUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6302 THIRTEENTH AVE, LUCERNE, CA 95458
(707) 274-9101
Mailing address
6302 THIRTEENTH AVE, LUCERNE, CA 95458
(707) 274-9101
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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