SHAWN LOUISE GRACIANO

GLENDALE, CA
NPI1144256983
Former NameSHAWN LOUISE DAVISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA15515)
Enumeration Date2006-06-23
Last Update Date2011-02-17
Business Address
-- SHAWN LOUISE GRACIANO P.A.
1420 S CENTRAL AVE
GLENDALE, CA 91204-2508
Phone number: 818-502-2344
Mailing Address
-- SHAWN LOUISE GRACIANO P.A.
10629 GOTHIC AVE
GRANADA HILLS, CA 91344-6827
Phone number: 818-929-1715