MiscSubjects

-- JESSICA SHANK

-J
-- JESSICA SHANK

Clinician

npi
1326460940
status
A
address
1500 PETALUMA BLVD S, PETALUMA, CA, 949525545
taxonomy
Student in an Organized Health Care Education/Training Program
last updated
2014-01-29
taxonomy code
390200000X
sole proprietor
YES
enumeration date
2014-01-16
enumeration type
NPI-1
practice locations
0
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

Student in an Organized Health Care Education/Training Program · has profession

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