Individual
SHANNON CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S AVENUE A, YUMA, AZ 85364-7997
(321) 537-3009
Mailing address
1351 E 23RD PL, YUMA, AZ 85365-2525
(321) 537-3009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
009324
AZ
Other
Enumeration date
11/05/2019
Last updated
08/15/2021
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