Sandra Jean Shields RN LCSW

NPI 1790895704 - Registered Nurse - 163W00000X

NPI Details
NPI 1790895704
Gender Female
Enumeration Date 08/30/2006
Last Updated 09/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
775 JUSTIN RD
ROCKWALL TX, 75087, US
Phone (972) 772-4006
Fax (972) 772-3547
Business Location
PO BOX 126
ROCKWALL TX, 75087, US
Phone (972) 772-4006
Fax (972) 772-3547
Toxanomy
Taxonomy Code 163W00000X
License State Texas
License Number 431448
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According to our database, Sandra Jean Shields RN LCSW NPI is 1790895704, taxonomy code is 163W00000X and license number is 431448, license state is located at Texas. Sandra Jean Shields RN LCSW physically located at 775 Justin Rd, Rockwall TX, 75087. NPI Number Sandra Jean Shields RN LCSW has the Individual type.

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1790895704 NPI number is provided on an as is basis without warranty of any kind. 1790895704 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Jean Shields RN LCSW are for informational purposes only.