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Shelly Mourning

NPI 1518390855 · on the registry since 2013

Practice

Address
13117 Entreken Ave
San Diego, CA 92129
Phone
(303) 882-7698

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225XP0200X
Licence states on file
RI, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-04

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