SHANE SMITH

OAKLAND, CA
NPI1801363288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-10-24
Last Update Date2020-03-10
Business Address
SHANE SMITH
10401 SHAW ST
OAKLAND, CA 94605-5116
Phone number: 510-333-6621
Mailing Address
SHANE SMITH
10401 SHAW ST APT 302
OAKLAND, CA 94605-5124
Phone number: 510-333-6621
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