Individual
SHANONE ELIACIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33300 MISSION BLVD APT 165, UNION CITY, CA 94587-1447
(954) 825-3079
Mailing address
33300 MISSION BLVD APT 165, UNION CITY, CA 94587-1447
(954) 825-3079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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