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Shane Wallin

Shane Wallin is a health care provider specializes in Specialist/Technologist, Other.

profile-icon Basic Information

Practice Location 1968 Garnet Ave, San Diego, CA 92109-3555, US
Practice Location Phone612-214-1325
Practice Location Fax
GenderMale
Specialty InSpecialist/Technologist, Other
NPI ?1104282177
Entity TypeIndividual
Enumeration Date ? Jan 6, 2016
Last Update Date ? Nov 28, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Shane Wallin

SpecialtySpecializationLicenseLicense State
Specialist/Technologist, OtherArt, Medical 310143Minnesota