LILY SHACKLEFORD

SAN DIEGO, CA
NPI1801559687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  300618)
Enumeration Date2021-10-18
Last Update Date2025-08-28
Business Address
LILY SHACKLEFORD
10405 SAN DIEGO MISSION RD # 102104
SAN DIEGO, CA 92108-2102
Phone number: 619-369-9442
Mailing Address
LILY SHACKLEFORD
10405 SAN DIEGO MISSION RD # 102104
SAN DIEGO, CA 92108-2102
Phone number:
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