Individual
MR. TABARI SHAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
949 35TH ST, 5, OAKLAND, CA 94608-4245
(888) 374-4469
Mailing address
1941 JACKSON ST, OAKLAND, CA 94612-4600
(888) 374-4469
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
41412
CA
225700000X
Massage Therapist
Primary
41412
CA
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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