Individual
SHANNON BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5655 DOROTHY WAY, SAN DIEGO, CA 92115-2308
(415) 885-9444
Mailing address
200 SANTA PAULA AVE, SAN FRANCISCO, CA 94127-1526
(415) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/29/2020
Last updated
06/01/2022
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