DECEMBER LORAINE SHORE

COSTA MESA, CA
NPI1326653056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95177107)
Enumeration Date2020-09-10
Last Update Date2020-09-10
Business Address
DECEMBER LORAINE SHORE RN
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
Mailing Address
DECEMBER LORAINE SHORE RN
5800 SOUTH ST APT 173
LAKEWOOD, CA 90713-1332
Phone number: 562-340-1314