Individual
NANCY M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2433 CENTRAL AVE STE A, ALAMEDA, CA 94501-4564
(510) 521-2300
(510) 521-7947
Mailing address
35 SANBORN RD, ORINDA, CA 94563-3816
(925) 254-0446
(510) 521-7947
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12949
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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