Individual
CLAIRE SHANLEN TAGAB JAKOSALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6181 MISSION ST, DALY CITY, CA 94014-2002
(415) 337-0140
Mailing address
6181 MISSION ST, DALY CITY, CA 94014-2002
(415) 337-0140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
07/05/2011
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