Individual
MILDRED M SHRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
17707 STUDEBAKER RD, CERRITOS, CA 90703-2640
(562) 402-0688
Mailing address
17707 STUDEBAKER RD, CERRITOS, CA 90703-2640
(562) 402-0688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225400000X
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21614
CA
Other
Enumeration date
09/30/2010
Last updated
06/07/2012
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