Shane Wallin is an art and medical specialist technologist other in San Diego, CA. Shane Wallin NPI is 1104282177. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1968 GARNET AVE
SAN DIEGO, CA
ZIP 92109-555
Phone: (612) 214-1325
The enumeration date for this NPI number is 1/6/2016 and was last updated on 8/7/2019.