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Deja Sholk

NPI 1275257610 · on the registry since 2022

Practice

Address
787 Riverside Dr
Ukiah, CA 95482
Phone
(951) 385-9359

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-29

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