Individual
MRS. CLORINDA N T SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
255 N GILBERT ST BLDG B4, HEMET, CA 92543-4078
(951) 652-0060
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 652-0060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16549
PHYSICIAN ASSISTANT
CA
Enumeration date
05/25/2007
Last updated
03/06/2018
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