Individual
ANGELA SHATTLES-BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13001 WALNUT WAY, VICTORVILLE, CA 92392-5542
(769) 953-5286
Mailing address
13001 WALNUT WAY, VICTORVILLE, CA 92392-5542
(760) 953-5286
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
365530141
CA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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