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Individual

SHELBY TOMASZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 ALFRED NOBEL DR STE 275, HERCULES, CA 94547-1838
(510) 230-5007
Mailing address
500 ALFRED NOBEL DR STE 275, HERCULES, CA 94547-1838
(510) 230-5007

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
372600000X
Adult Companion
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801356787
NPI
CA
Enumeration date
10/21/2022
Last updated
05/27/2025
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