Individual
MISS TIFFANY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
6119 CYONUS AVE NW, ALBUQUERQUE, NM 87114-4015
(423) 276-5201
Mailing address
6119 CYONUS AVE NW, ALBUQUERQUE, NM 87114-4015
(423) 276-5201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT774
NM
Other
Enumeration date
01/04/2018
Last updated
08/03/2021
About Stedi
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