Individual
MR. DAVID SHEVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
34 DOLORES ST, SAN RAFAEL, CA 94901-5105
(415) 963-4453
Mailing address
34 DOLORES ST, SAN RAFAEL, CA 94901-5105
(415) 963-4453
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
12612
CA
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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