Search › California › 171M00000X
Shanell Gridiron
NPI 1487126918 · on the registry since 2018
Practice
- Address
- 2525 N Chester Ave Ste C
Bakersfield, CA 93308 - Phone
- (661) 868-7499
- Fax
- (661) 868-4898
- Organisation at this address
- County Of Kern
Jasmine Fombona
Clinica Sierra Vista
Clinica Sierra Vista
Ikern County Mental HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 271
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
- Sex
- Female
- Record last updated
- 2020-10-23
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