Kkassanova Shields
Kkassanova Shields is a Counselor in Concord, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
3024 Willow Pass RdConcord, CA 94519-2588
Phone: (925) 692-0090
Fax: (925) 692-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1922387232 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 4, 2011 |
| Last updated in NPPES | August 4, 2011 |
| Mailing address | 3024 Willow Pass Rd, Concord, CA 94519-2588 |
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