Shana Gaviglio Kenney
NPI #1376957373 in San Rafael, California
Provider Information
- NPI Number
- 1376957373
- Entity Type
- Individual
- Name
- Shana Gaviglio Kenney
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 17, 2014
- Last Updated
- Jun 17, 2014
Practice Location
- Address
- 1665 GRAND AVE
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-2211
- Phone
- (415) 258-9572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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