Most Relevant Information
Provider Data
NPI Number: | 1003217647 |
Provider Name: | SHANTEL PELOTE |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/15/2014 |
Last Updated: | 09/15/2014 |
Provider Practice Location
4343 WILLIAMSBOURGH DR
SACRAMENTO
CA
958232006
Practice Location Phone/Fax
Phone: | 9163953552 |
Fax: | 9164735766 |
Provider Mailing Location
4343 WILLIAMSBOURGH DR
SACRAMENTO
CA
958232006
Provider Mailing Phone/Fax
Phone: | 9163953552 |
Fax: | 9164735766 |