Individual
JOCELYN JANEL SHILUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
705 BRANDYWINE DRIVE, LODI, CA 95240
(209) 210-8431
Mailing address
705 BRANDYWINE DRIVE, LODI, CA 95240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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