Jeannine Shively, PA-C
Physician Assistant · San Diego, CA
UnclaimedPA-CNPI 1164688529
- Primary taxonomy
- 363A00000X
- Enumerated
- 2008-08-05
- Practice location
- San Diego, CA
- Last NPPES update
- 2008-08-05
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.