Individual
DEJA SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 SLOAN SQ NE, ATLANTA, GA 30329-3491
(312) 257-7492
Mailing address
3109 SLOAN SQ NE, ATLANTA, GA 30329-3491
(312) 257-7492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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