Shelly Gerken SPT

NPI 1447445531 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1447445531
Gender Female
Enumeration Date 09/11/2007
Last Updated 09/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
615 4TH ST
CLOVIS CA, 93612-1124, US
Phone (559) 322-5345
Fax (559) 322-5041
Business Location
615 4TH ST
CLOVIS CA, 93612-1124, US
Phone (559) 322-5345
Fax (559) 322-5041
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number SP7109
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According to our database, Shelly Gerken SPT NPI is 1447445531, taxonomy code is 235Z00000X and license number is SP7109, license state is located at California. Shelly Gerken SPT physically located at 615 4th St, Clovis CA, 93612-1124. NPI Number Shelly Gerken SPT has the Individual type.

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1447445531 NPI number is provided on an as is basis without warranty of any kind. 1447445531 is maintained by the National Plan & Provider Enumeration System. The contents of Shelly Gerken SPT are for informational purposes only.