Individual
SHAWNEE SEYCHELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 E UNIVERSITY BLVD, ODESSA, TX 79762-8122
(432) 552-3685
Mailing address
51 FALCONS NEST CIR, ODESSA, TX 79762-9621
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT873
NM
2255A2300X
Athletic Trainer
AT873
TX
2255A2300X
Athletic Trainer
Primary
AT8947
TX
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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