SHIRLEY LYNNE VAN

MODESTO, CA
NPI1063530749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: CA  G51607)
Additional Taxonomies207N00000X Dermatology
(Licence: IL  036164415)
Enumeration Date2007-03-27
Last Update Date2024-05-10
Business Address
DR. SHIRLEY LYNNE VAN MD
1429 COLLEGE AVE SUITE B
MODESTO, CA 95350-4046
Phone number: 209-526-2242
Mailing Address
DR. SHIRLEY LYNNE VAN MD
1429 COLLEGE AVE SUITE B
MODESTO, CA 95350-4057
Phone number: 209-526-2242