Individual
JUSTIN SHIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
940 W 35TH ST, LOS ANGELES, CA 90089-0001
(213) 821-7365
Mailing address
940 W 35TH ST, LOS ANGELES, CA 90089-0001
(213) 821-7365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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