SearchCalifornia101YA0400X

Georgianne Shackelford

NPI 1124692785 · on the registry since 2021 · sole proprietor

Practice

Address
1614 54th Street
Sacramento, CA 95819
Phone
(916) 990-2582

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2021-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California