Individual
SHELBI HOLLOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
59 COLLEGE AVE, BUCKHANNON, WV 26201-2600
(757) 735-2636
Mailing address
204 ARMOR WAY, SUFFOLK, VA 23435-3415
(757) 735-2636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001586
WV
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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