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Gina N Shafer, PA

Physician Assistant in Baldwin Park, CA. Individual provider (NPI-1).

NPI number1821165697
StatusActive
Last updated in NPPESNov 29, 2021

Details

NPI
1821165697
Entity type
Individual (NPI-1)
Name
Gina N Shafer
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Nov 29, 2006
Last updated
Nov 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA13758CAYes

Practice location

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Phone 626-851-1011

Mailing address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Phone 626-851-1011

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