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Individual

SHAWNDA MARIE DORANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
137 S LAS POSAS RD STE 255, SAN MARCOS, CA 92078-2470
(760) 877-8747
Mailing address
25711 WILLOW LN, ESCONDIDO, CA 92026-8639
(760) 877-8747

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
NP95018195
CA

Other

Enumeration date
09/04/2021
Last updated
04/18/2022
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