Individual
BRIAN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
973 VENTURA AVE, ALBANY, CA 94707-2541
(510) 904-7153
Mailing address
973 VENTURA AVE, ALBANY, CA 94707-2541
(510) 904-7153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
E1774867
CA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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