Shane Wallin is a health care provider specializes in Specialist/Technologist, Other.
|Practice Location||1968 Garnet Ave, San Diego, CA 92109-3555, US|
|Practice Location Phone||612-214-1325|
|Practice Location Fax|
|Specialty In||Specialist/Technologist, Other|
|Enumeration Date ?||Jan 6, 2016|
|Last Update Date ?||Nov 28, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Specialist/Technologist, Other||Technologists, Technicians & Other Technical Service Providers||Art, Medical||310143||Minnesota|