Individual
DASHONIA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3053 N DELNO AVE, FRESNO, CA 93705-4015
(559) 274-2511
Mailing address
3053 N DELNO AVE, FRESNO, CA 93705-4015
(559) 274-2511
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
6053576735
CA
Other
Enumeration date
08/31/2019
Last updated
08/31/2019
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