Most Relevant Information
Provider Data
NPI Number: | 1003439076 |
Provider Name: | JACK SHEARER LVN |
Entity Type: | Individual |
Taxonomy Code: | 164X00000X |
Specialty: | Licensed Vocational Nurse |
License Number: | 699969 |
Most Important Dates
Enumeration Date: | 05/25/2020 |
Last Updated: | 05/25/2020 |
Provider Practice Location
330 N ST APT 18
SACRAMENTO
CA
958144302
Practice Location Phone/Fax
Phone: | 9164702292 |
Fax: |
Provider Mailing Location
330 N ST APT 18
SACRAMENTO
CA
958144302
Provider Mailing Phone/Fax
Phone: | 9164702292 |
Fax: |