TYANA SHAW

ANTIOCH, CA
NPI1669199642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RI0001X Internal Medicine, Clinical & Laboratory Immunology
(Licence: CA  207RI0001)
Enumeration Date2022-10-20
Last Update Date2022-11-12
Business Address
TYANA SHAW
4965 RIDGEVIEW DR
ANTIOCH, CA 94531-7757
Phone number: 510-703-2130
Mailing Address
TYANA SHAW
4965 RIDGEVIEW DR
ANTIOCH, CA 94531-7757
Phone number: 510-703-2130
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