Individual
MRS. SHANTEL NICOLE JOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
(530) 842-9412
Mailing address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
(530) 842-9412
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20553
CA
Other
Enumeration date
09/28/2009
Last updated
03/14/2013
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