Individual
SHELBY COHANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6540 LUSK BLVD STE C256, SAN DIEGO, CA 92121-5795
(877) 264-6747
(877) 539-7730
Mailing address
1663 MISSION ST STE 400, SAN FRANCISCO, CA 94103-2485
(877) 264-6747
(877) 539-7730
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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