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: |