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Individual

SHANEICE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2975 SACRAMENTO ST, BERKELEY, CA 94702-2534
(510) 644-0200
Mailing address
2975 SACRAMENTO ST, BERKELEY, CA 94702-2534
(510) 644-0200

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
942832154
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
942832154
METHODONE CLINIC
CA
Enumeration date
12/29/2015
Last updated
12/29/2015
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