Individual
MR. SHAUN MARCHISHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1628 NOE AVE, SAN MATEO, CA 94401-3648
(650) 727-4611
Mailing address
1628 NOE AVE, SAN MATEO, CA 94401-3648
(650) 727-4611
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
6235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6235
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
10/01/2018
Last updated
01/06/2021
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