CAROLYN NMN SHIVELY

SAN LUIS OBISPO, CA
NPI1518025725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  13693)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Mrs. CAROLYN NMN SHIVELY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4738
Mailing Address
Mrs. CAROLYN NMN SHIVELY
461 YERBA BUENA ST
MORRO BAY, CA 93442-2973
Phone number: 805-772-6992
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