Gibbons, Shana M

Gibbons, Shana M is an individual health care provider with primary practice located at 1209 W Tokay St , Lodi CA 95240-3845. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gibbons, Shana M can be contacted via phone (209) 331-2070.

Contact Information

Primary practice address
1209 W Tokay St Lodi CA 95240-3845
Phone: (209) 331-2070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN95178653 California

Profile Details

NPI number 1376106203
LBN Legal business name Gibbons, Shana M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2019
Last updated Apr 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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