MR. Jeffrey Shute
NPI #1548616089 in Lucerne, California
Provider Information
- NPI Number
- 1548616089
- Entity Type
- Individual
- Name
- MR. Jeffrey Shute
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- May 13, 2016
- Last Updated
- May 13, 2016
Practice Location
- Address
- 6302 THIRTEENTH AVE
- City
- Lucerne
- State
- California
- ZIP Code
- 95458
- Phone
- (707) 274-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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