Individual
AYANA SHAKERA DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 CASSIDY ST, OCEANSIDE, CA 92054-5314
(760) 721-2171
Mailing address
321 CASSIDY ST, OCEANSIDE, CA 92054-5314
(760) 721-2171
(760) 721-8582
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
41530
CA
167G00000X
Licensed Psychiatric Technician
Primary
41530
CA
Other
Enumeration date
10/06/2022
Last updated
03/18/2024
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