MRS. Carolyn Susan Shaw
NPI #1821639246 in Oak Hills, California
Provider Information
- NPI Number
- 1821639246
- Entity Type
- Individual
- Name
- MRS. Carolyn Susan Shaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Oct 7, 2019
- Last Updated
- Oct 7, 2019
Practice Location
- Address
- 13312 RANCHERO RD #533
- City
- Oak Hills
- State
- California
- ZIP Code
- 92344
- Phone
- (909) 307-5248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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