Individual
ASHLEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
340 SOUTH LEMON AVE, 9892, WALNUT, CA 91789
(415) 403-2156
Mailing address
12284 SEMILLON BLVD, SAN DIEGO, CA 92131-2223
(858) 692-4360
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95004599
CA
Other
Enumeration date
02/07/2017
Last updated
01/13/2022
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