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1992420061
SHAYNA ELVINA' SMITH
OAKLAND, CA
NPI
1992420061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1480980922)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
SHAYNA ELVINA' SMITH
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448
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Mailing Address
SHAYNA ELVINA' SMITH
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448
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