Individual
SHAHBANO SYEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
846/848 GRAVENSTEIN HWY SOUTH, SEBASTOPOL, CA 95472
(707) 800-2288
Mailing address
846/848 GRAVENSTEIN HWY SOUTH, SEBASTOPOL, CA 95472
(707) 800-2288
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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