Individual
PAUL WOOSUCK SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 667-4200
Mailing address
4661 RED HILL WAY, TURLOCK, CA 95382-7474
(562) 228-6150
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
732074
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000787
CA
Other
Enumeration date
08/07/2017
Last updated
03/17/2018
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