JENNIFER MICHELLE SHIVELY

ORANGE, CA
NPI1003165267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: CA  20141)
Enumeration Date2012-09-04
Last Update Date2012-09-04
Business Address
-- JENNIFER MICHELLE SHIVELY N.P.
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-204-3277
Mailing Address
-- JENNIFER MICHELLE SHIVELY N.P.
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-204-3277
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