Individual
EARL WILSON SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27536 YNEZ RD, STE F19, TEMECULA, CA 92591-4665
(951) 695-1176
(951) 695-2096
Mailing address
26810 YNEZ CT STE D, TEMECULA, CA 92591-4691
(951) 695-1176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13869
CA
Other
Enumeration date
06/16/2005
Last updated
07/30/2010
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