SHELLEY J PARK

REDLANDS, CA
NPI1386683480
Former NameSHELLEY J ANDERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  14554)
Enumeration Date2006-06-05
Last Update Date2016-07-19
Business Address
-- SHELLEY J PARK N.P.
2 W FERN AVE
REDLANDS, CA 92373-5916
Phone number: 909-793-3311
Mailing Address
-- SHELLEY J PARK N.P.
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number: 909-335-4188