Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LETITIA RENEE SHACKLEFORD-OLIVER
ActiveLETITIA RENEE SHACKLEFORD-OLIVER is a Specialist/Technologist, Surgical healthcare provider located in VALLEJO, California. NPI 1730839085 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · VALLEJO, CA
Registration Details
- NPI Number
- 1730839085
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2022 (4.4134014407042 yrs)
- Last Updated
- Mar 28, 2022
Practice Information
- Address
-
1628 BROADWAY STVALLEJO, CA, 945902405Browse CA providers · Browse ZIP 94590
- Phone
- 0776498300
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Other Specialist/Technologist, Surgical Providers in VALLEJO, CA
| Name | Credential | NPI |
|---|---|---|
| ANGELICA MENDOZA | MEDICAL ASSISTANT | 1699399634 |
| KATHERINE FRANK | CPT-1 | 1386368165 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.