KKASSANOVA SHIELDS

CONCORD, CA
NPI1922387232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-08-04
Last Update Date2011-08-04
Business Address
-- KKASSANOVA SHIELDS
3024 WILLOW PASS RD
CONCORD, CA 94519-2588
Phone number: 925-692-0090
Mailing Address
-- KKASSANOVA SHIELDS
3024 WILLOW PASS RD
CONCORD, CA 94519-2588
Phone number: 925-692-0090
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