DEJA SHOLK

UKIAH, CA
NPI1275257610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
(Licence: CA  D1314463)
Enumeration Date2022-09-29
Last Update Date2022-09-29
Business Address
DEJA SHOLK
787 RIVERSIDE DR
UKIAH, CA 95482-9606
Phone number: 951-385-9359
Mailing Address
DEJA SHOLK
510 STEWART ST
FORT BRAGG, CA 95437-3207
Phone number: