Individual
SHAWNA MARIE GARGUILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5828
Mailing address
801 GRAPELEAF WAY, MODESTO, CA 95356-2115
(209) 247-5724
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM1723
CA
Other
Enumeration date
12/22/2006
Last updated
01/03/2022
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