Jontia Shallowhorn
NPI #1518518745 in Moreno Valley, California
Provider Information
- NPI Number
- 1518518745
- Entity Type
- Individual
- Name
- Jontia Shallowhorn
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Sep 29, 2019
- Last Updated
- Sep 29, 2019
Practice Location
- Address
- 26929 NUCIA DR
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92555-4983
- Phone
- (661) 492-4743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Home Health |
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