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Individual

CALIPHAL SHAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
302 CHERRY LN, MANTECA, CA 95337-4311
(209) 647-6200
Mailing address
2495 W MARCH LN, SUITE #125, STOCKTON, CA 95207-8251
(209) 465-1080

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
07/01/2013
Last updated
03/25/2025
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