Nicole Johnise Shaw
ActiveCalifornia license A204378
License
- Licensed by
- Medical Board of California
- License number
- A204378
- Status
- Active (Current)
- First issued
- August 5, 2025
- Expires
- October 31, 2027
- License holder
- Nicole Johnise Shaw
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3900 City Ave Apt M211
Philadelphia, PA 19131-2953
Philadelphia, PA 19131-2953
Philadelphia County