KEONI GIST

OAKLAND, CA
NPI1417225251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-12-08
Last Update Date2011-12-08
Business Address
-- KEONI GIST
4321 TOMPKINS AVE
OAKLAND, CA 94619-2820
Phone number: 510-302-8951
Mailing Address
-- KEONI GIST
4321 TOMPKINS AVE
OAKLAND, CA 94619-2820
Phone number: