Individual
ERIN JACKS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
685 TWELVE BRIDGES DR, SUITE B, LINCOLN, CA 95648-8689
(916) 408-5915
(916) 408-5406
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A87558
CA
Other
Enumeration date
02/23/2006
Last updated
07/10/2015
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