Individual
SHAVONE DAVIS-PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA/PCT
Contact information
Practice address
699 LEWELLING BLVD STE 146357, SAN LEANDRO, CA 94579-1870
(510) 827-8469
Mailing address
50 SANTA MARGARITA, SAN LEANDRO, CA 94579-1927
(510) 827-8469
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01103966
CA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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