Individual
SHANNON LEE AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
1107 GLENWOOD RD, GLENDALE, CA 91202-2039
(818) 309-6407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000017618
CA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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