Individual
MRS. CHRISTINA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31720 TEMECULA PKWY, TEMECULA, CA 92592-5895
(951) 302-1576
Mailing address
31720 TEMECULA PKWY, TEMECULA, CA 92592-5895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15524
CA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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