SHAKIRA TRIZETTE TIETJE

SAN LUIS OBISPO, CA
NPI1225586522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  15271)
Enumeration Date2016-09-14
Last Update Date2016-09-14
Business Address
-- SHAKIRA TRIZETTE TIETJE OTR/L
545 PRINCETON PL
SAN LUIS OBISPO, CA 93405-1118
Phone number: 805-801-6003
Mailing Address
-- SHAKIRA TRIZETTE TIETJE OTR/L
545 PRINCETON PL
SAN LUIS OBISPO, CA 93405-1118
Phone number: 805-801-6003