Individual
SHELLY VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
7399 LONGLEAF PINE PKWY, SAINT JOHNS, FL 32259-6970
(904) 547-8340
Mailing address
7399 LONGLEAF PINE PKWY, SAINT JOHNS, FL 32259-6970
(904) 547-8340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1616
FL
Other
Enumeration date
07/08/2017
Last updated
07/21/2022
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