Individual provider · Type 1 NPI
December Loraine Shore, RN
Psychiatric/Mental Health Registered Nurse · Costa Mesa, CA
NPI number
1326653056
Active
Practice location
301 Victoria St
Costa Mesa, CA 92627-7131
Mailing address
5800 South St Apt 173
Lakewood, CA 90713-1332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95177107 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1326653056
December Loraine Shore, RN's National Provider Identifier is 1326653056, issued on Sep 10, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 10, 2020.