Individual
SHELBY NOEL KAENEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30110 MARIANNE LN, HIGHLAND, CA 92346-5985
(909) 793-5099
Mailing address
30110 MARIANNE LN, HIGHLAND, CA 92346-5985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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