Most Relevant Information
Provider Data
| NPI Number: | 1003670944 |
| Provider Name: | SHANTARA KULL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2024 |
| Last Updated: | 02/12/2024 |
Provider Practice Location
401 DANVERS RIVER STREET
318
OXNARD
CA
93036
Practice Location Phone/Fax
| Phone: | 8056163059 |
| Fax: |
Provider Mailing Location
401 DANVERS RIVER STREET
318
OXNARD
CA
93036
Provider Mailing Phone/Fax
| Phone: | 8056163059 |
| Fax: |