Individual
PAUL WILLIAM SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14399 VISTA DEL SOL LN, ADELANTO, CA 92301-4623
(760) 812-4165
Mailing address
14399 VISTA DEL SOL LN, ADELANTO, CA 92301-4623
(760) 812-4165
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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