Individual
SHANA MCKEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 VILLA AVE, SAN RAFAEL, CA 94901-1323
(415) 342-1366
Mailing address
134 VILLA AVE, SAN RAFAEL, CA 94901-1323
(415) 342-1366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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