SHANNON KELAITA

SAN ANDREAS, CA
NPI1720382864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2011-01-04
Last Update Date2011-01-04
Business Address
SHANNON KELAITA
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6525
Mailing Address
SHANNON KELAITA
PO BOX 128
MOKELUMNE HILL, CA 95245-0128
Phone number:
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