Individual
KOREY SHANIA BUNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
815 W MARKET ST, GREENSBORO, NC 27401-1875
(336) 272-7102
Mailing address
7493 OLD FLOYD RD, ROME, NY 13440-0422
(315) 725-8279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4351
NC
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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