Individual
SHAVETTE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9764 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1615
(714) 534-0007
Mailing address
2922 DANELAND ST, LAKEWOOD, CA 90712-2134
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA49960
CA
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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