Search › California › 106H00000X
Shellie Revilla
NPI 1699409482 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4916 Poplar Ter
Campbell, CA 95008 - Phone
- (408) 202-3992
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-15
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