MISS Erica Latoya Shackelford
NPI #1134945694 in San Francisco, California
Provider Information
- NPI Number
- 1134945694
- Entity Type
- Individual
- Name
- MISS Erica Latoya Shackelford
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 166 GEARY ST FL 15
- City
- San Francisco
- State
- California
- ZIP Code
- 94108-5631
- Phone
- (305) 916-0946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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