Individual
SHANNON EHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 W 39TH ST, WILMINGTON, DE 19802-2034
(302) 353-9917
Mailing address
607 W 39TH ST, WILMINGTON, DE 19802-2034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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