Individual
REBA MICHELLE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2426 MERIDIAN WAY, ROCKLIN, CA 95765-4762
(916) 256-5488
Mailing address
2426 MERIDIAN WAY, ROCKLIN, CA 95765-4762
(916) 256-5488
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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