Individual
SHANNON WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
103 N MOORELAND RD, RICHMOND, VA 23229-7709
(804) 754-1558
Mailing address
103 N MOORELAND RD, RICHMOND, VA 23229-7709
(804) 754-1558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000136
VA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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