Individual
MARIA SHAVALIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 FACTEAU AVE, PLATTSBURGH, NY 12901-6420
(518) 566-8335
Mailing address
17 FACTEAU AVE, PLATTSBURGH, NY 12901-6420
(518) 566-8335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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