Individual
MYKIRA LNIQUE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3145 HIGH ST, OAKLAND, CA 94619-1839
(510) 533-9970
Mailing address
3145 HIGH ST, OAKLAND, CA 94619-1839
(925) 575-4604
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01331790
CA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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