SHELLEY M LUNG

MODESTO, CA
NPI1790818557
Former NameSHELLEY MARIE MULLENNIX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA14745)
Enumeration Date2007-03-13
Last Update Date2008-08-26
Business Address
-- SHELLEY M LUNG PA
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
Mailing Address
-- SHELLEY M LUNG PA
PO BOX 12020
WESTMINSTER, CA 92685-2020
Phone number: 888-556-5621