Individual
SHELLI JEAN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 D ST STE S, MARYSVILLE, CA 95901-5958
(530) 565-0960
Mailing address
201 D ST STE S, MARYSVILLE, CA 95901-5958
(530) 565-0960
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
16197196727
CA
Other
Enumeration date
05/20/2024
Last updated
07/11/2025
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