KHALEEL- SHANE DESHAWN JETT

SAN LEANDRO, CA
NPI1255893640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-04-03
Last Update Date2019-04-03
Business Address
KHALEEL- SHANE DESHAWN JETT
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Mailing Address
KHALEEL- SHANE DESHAWN JETT
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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