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Shannon Kelaita
NPI 1720382864 · on the registry since 2011 · sole proprietor
Practice
- Address
- 891 Mountain Ranch Rd
San Andreas, CA 95249 - Phone
- (209) 754-6525
- Fax
- (209) 754-6799
- Clinicians at this address
- 67
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California