SHANE WALLIN
Specialist/Technologist, Other - Art, Medical
Active
Individual
NPI: 1104282177
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist, Other - Art, Medical | 246ZA2600X | Yes | 310143 (MN) |
Frequently Asked Questions
NPI 1104282177 is the National Provider Identifier for SHANE WALLIN, a Specialist/Technologist, Other - Art, Medical provider located in San Diego, CA. This NPI was enumerated on January 6, 2016.
SHANE WALLIN practices at 1968 GARNET AVE, San Diego, CA 92109.
Quick Facts
- NPI
- 1104282177
- Type
- Individual
- Enumerated
- Jan 6, 2016
- Last Updated
- Jul 3, 2025
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