Most Relevant Information
Provider Data
| NPI Number: | 1003433665 |
| Provider Name: | SHAWANA THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/30/2020 |
| Last Updated: | 06/30/2020 |
Provider Practice Location
400 BROADWAY
OAKLAND
CA
946073807
Practice Location Phone/Fax
| Phone: | 5102687137 |
| Fax: |
Provider Mailing Location
400 BROADWAY
OAKLAND
CA
946073807
Provider Mailing Phone/Fax
| Phone: | 5102687137 |
| Fax: |