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Melissa Shaw

NPI 1447800412 · on the registry since 2019

Practice

Address
478 Maverick Ln
Poplar Bluff, MO 63901
Phone
(562) 686-8660

Additional practice sites

  • 720 Wood St, Eureka, CA
  • 730 Medical Center Ct, Chula Vista, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YM0800X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri