Individual
SHANEE JOVAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 CARROLL AVE FL 2, SAN FRANCISCO, CA 94124-3219
(415) 822-8200
(415) 822-6822
Mailing address
25200 CARLOS BEE BLVD APT 393, HAYWARD, CA 94542-1541
(510) 302-8274
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
07/16/2025
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