Individual
ZANETRIAH SHORTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9872 MILESTONE CV, OLIVE BRANCH, MS 38654-4397
(662) 996-6765
Mailing address
9872 MILESTONE CV, OLIVE BRANCH, MS 38654-4397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MS
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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