Individual
MS. DINA M SHRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4823 FULL MOON DR, EL SOBRANTE, CA 94803-2139
(510) 381-2005
Mailing address
4823 FULL MOON DR, EL SOBRANTE, CA 94803-2139
(510) 381-2005
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
651889
CA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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