Individual
LUPE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, P.N.P., MSN
Contact information
Practice address
9121 ROAD 240, TERRA BELLA, CA 93270-9423
(559) 535-4451
Mailing address
9121 ROAD 240, TERRA BELLA, CA 93270-9423
(559) 535-4451
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
350407
CA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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