Search › California › 164X00000X
Collette Shirley
NPI 1245430941 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4845 Frazee Rd Apt 701
Oceanside, CA 92057 - Phone
- (760) 277-4726
- Organisation at this address
- Med-I-Cal
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-20
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