SHANNON LARA SMITH

BERKELEY, CA
NPI1336329564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-11-05
Last Update Date2008-07-31
Business Address
-- SHANNON LARA SMITH
3200 ADELINE STREET
BERKELEY, CA 94703-3501
Phone number: 415-859-6264
Mailing Address
-- SHANNON LARA SMITH
3200 ADELINE ST
BERKELEY, CA 94703-2407
Phone number: