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Individual

BRINLEY SHAW WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
480 1ST AVE, PORTOLA, CA 96122-9405
(530) 832-6600
Mailing address
PO BOX 326, GRAEAGLE, CA 96103-0326

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027843
CA

Other

Enumeration date
10/26/2023
Last updated
02/08/2024
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