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Kanae Shapur
General Practice Registered Nurse in La Mesa, California
NPI 1558878520

Kanae Shapur is a General Practice Registered Nurse based in San Diego, CA and is specialized in General Practice. Kanae Shapur practices in La Mesa, CA. The NPI Number for Kanae Shapur is 1558878520 and holds a License No. 770674 (California).

The current practice location address for Kanae Shapur is 5696 Lake Murray Blvd, La Mesa, CA and can be reached out via phone at 858-829-8999.

Location: 5696 Lake Murray Blvd, La Mesa, CA, 92129-3397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558878520
Provider Name
Kanae Shapur
Credential
Provider Entity Type
Individual
Gender
Female
Address
5696 Lake Murray Blvd, La Mesa, CA, 92129-3397
Phone Number
858-829-8999
Fax Number
Provider Enumeration Date
12/29/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5696 Lake Murray Blvd
City
La Mesa
State
California
Zip
91942-1929
Phone Number
858-829-8999
Fax Number
person
Provider Business Mailing Address Details
Address
5696 Lake Murray Blvd
City
La Mesa
State
California
Zip
91942-1929
Phone Number
858-829-8999
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
770674 (California)
Definition
Definition to come...
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