SHELLY MACK

FULLERTON, CA
NPI1730949215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: CA  4322)
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
SHELLY MACK
3513 TETON DR APT SUITE
FULLERTON, CA 92835-1633
Phone number: 714-335-0644
Mailing Address
SHELLY MACK
3513 TETON DR APT SUITE
FULLERTON, CA 92835-1633
Phone number: 714-335-0644
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