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Individual

TATYANA SHANAE ALMADIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, ATC

Contact information

Practice address
1 GRAND AVE, SAN LUIS OBISPO, CA 93407-9000
(805) 756-5491
Mailing address
11295 LOS OSOS VALLEY RD APT 23, SAN LUIS OBISPO, CA 93405-6349
(805) 714-6717

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000038684
CA

Other

Enumeration date
05/30/2024
Last updated
05/30/2024
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