Individual
SHAE NICOLE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12891 INDIANA AVE UNIT 41, RIVERSIDE, CA 92503-4679
(714) 319-0985
Mailing address
12891 INDIANA AVE UNIT 41, RIVERSIDE, CA 92503-4679
(714) 319-0985
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
BOC325316
CA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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