| NPI | 1124745161 |
|---|---|
| Doing Business As | SHYLEE SKIN WELLNESS AND FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHYLEE BAUSTISTA TIAMSON Authorized Office / Owner 909-808-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-02-08 |