Individual
TAMIA SHOSHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2823 DIAZ LANE, BISHOP, CA 93514
(760) 937-1549
Mailing address
PO BOX 1011, BISHOP, CA 93515-1011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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