Mourning, Shelly

Mourning, Shelly is an individual health care provider with primary practice located at 13117 Entreken Ave , San Diego CA 92129-2303. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mourning, Shelly can be contacted via phone (303) 882-7698.

Contact Information

Primary practice address
13117 Entreken Ave San Diego CA 92129-2303
Phone: (303) 882-7698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT01365 Rhode Island
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 11176 California

Profile Details

NPI number 1518390855
LBN Legal business name Mourning, Shelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2013
Last updated May 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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