Individual
MRS. BRANDIROSE CHRISTINE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Mailing address
17820 ALBURTIS AVE APT 6, ARTESIA, CA 90701-3958
(562) 650-4862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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