NICOLE JOHNISE SHAW

SOUTH GATE, CA
NPI1780315473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A204378)
Enumeration Date2022-06-22
Last Update Date2026-06-10
Business Address
Dr. NICOLE JOHNISE SHAW MD
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280-6359
Phone number: 323-825-8300
Mailing Address
Dr. NICOLE JOHNISE SHAW MD
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280-6359
Phone number: 323-825-8300
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