Individual
DAYNA SUE SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5050 AVE MARIA BLVD, AVE MARIA, FL 34142
(239) 304-7865
Mailing address
6331 SCOTT ST, HOLLYWOOD, FL 33024-4124
(954) 604-1209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/04/2018
Last updated
07/26/2018
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