SHONNA K PREMOCK

GARDEN VALLEY, CA
NPI1902488091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
SHONNA K PREMOCK
5607 MOUNT MURPHY ROAD
GARDEN VALLEY, CA 95633-9563
Phone number: 530-333-9460
Mailing Address
SHONNA K PREMOCK
PO BOX 871
GARDEN VALLEY, CA 95633-0871
Phone number: 530-333-9460
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