Individual
SHANTE TIA SEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
Mailing address
116 LASSEN CIR, VACAVILLE, CA 95687-3402
(707) 428-1131
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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