Search › California › 363A00000X
Jeannine Shively, PA-C
NPI 1164688529 · on the registry since 2008
Practice
- Address
- 6645 Alvarado Rd # 415
San Diego, CA 92120 - Phone
- (619) 229-4941
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-05
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