Individual
MS. SHARON FLEMING TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9707 MAGNOLIA AVE, RIVERSIDE, CA 92503-3609
(951) 358-5190
(951) 358-4474
Mailing address
19870 KATY WAY, CORONA, CA 92881-4223
(951) 358-5190
(951) 358-4474
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
361833
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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