SearchCalifornia167G00000X

Jasmine Shawcover

NPI 1811172703 · on the registry since 2008

Practice

Address
1480 W Edgehill Rd
San Bernardino, CA 92405
Phone
(909) 889-4987

Registry record

Primary taxonomy
167G00000X
167G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-01-09

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