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Organization

A1C TOTAL CARE DIABETES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNA NEWBOLD MD (OWNER)
(951) 314-3088
Entity
Organization

Contact information

Practice address
7216 PALM AVE STE A, HIGHLAND, CA 92346-3280
(951) 314-3088
Mailing address
1225 PINE CREST CIR NE, ISSAQUAH, WA 98029-7469
(951) 314-3088
(951) 314-3088

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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