Individual
SHAUN XAVIER HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28401 LOS ALISOS BLVD APT 6102, MISSION VIEJO, CA 92692-5956
(714) 310-3094
Mailing address
28401 LOS ALISOS BLVD APT 2207, MISSION VIEJO, CA 92692-5953
(714) 342-3341
(949) 215-7604
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
08/06/2019
Last updated
08/06/2019
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