Doctor Name: | SANDRA JEAN SHETZLINE |
NPI Number: | 1033227715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 20A7319 |
Business Practice Address: | 2740 Highway 4 Drawer V Arnold, CA - 95223 |
Business Phone Number: | 2097954488 |
Business Fax Number: | |
Mailing Address: | 602 Sheep Ranch Rd, MURPHYS |
State: | CA |
Postal Code: | 952479705 |
Phone Number: | 2097282599 |
Fax Number: | 2097950984 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 20A7319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |