SHADELL DANAE MARIA WOMACK

MERCED, CA
NPI1992386973
Former NameSHADELL DANAE MARIA NICHOLS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  717412)
Enumeration Date2021-04-20
Last Update Date2023-12-12
Business Address
SHADELL DANAE MARIA WOMACK
301 E 13TH ST STE D
MERCED, CA 95341-6211
Phone number: 209-386-1096
Mailing Address
SHADELL DANAE MARIA WOMACK
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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