BENNIE SHAW

SACRAMENTO, CA
NPI1164545257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- BENNIE SHAW
930 G STREET
SACRAMENTO, CA 95814
Phone number: 916-441-2933
Mailing Address
-- BENNIE SHAW
3637 PULLMAN DRIVE
SACRAMENTO, CA 95827
Phone number: 916-441-2933
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