SHANA GAVIGLIO KENNEY

SAN RAFAEL, CA
NPI1376957373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2014-06-17
Last Update Date2014-06-17
Business Address
SHANA GAVIGLIO KENNEY
1665 GRAND AVE
SAN RAFAEL, CA 94901-2211
Phone number: 415-258-9572
Mailing Address
SHANA GAVIGLIO KENNEY
1665 GRAND AVE
SAN RAFAEL, CA 94901-2211
Phone number: 415-258-9572
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