Shonta Smallwood

NPI 1487820056 - Counselor - 101YA0400X

NPI Details
NPI 1487820056
Gender Male
Enumeration Date 05/05/2008
Last Updated 05/05/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2772 MARTIN LUTHER KING BLVD
FRESNO CA, 93706-5345, US
Phone (559) 265-4800
Fax (559) 265-4823
Business Location
1029 E JOLSON AVE
FRESNO CA, 93706-5548, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Shonta Smallwood NPI is 1487820056, taxonomy code is 101YA0400X Shonta Smallwood physically located at 2772 Martin Luther King Blvd, Fresno CA, 93706-5345. NPI Number Shonta Smallwood has the Individual type.

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1487820056 NPI number is provided on an as is basis without warranty of any kind. 1487820056 is maintained by the National Plan & Provider Enumeration System. The contents of Shonta Smallwood are for informational purposes only.