Individual
JENNA SHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 E 4600 S, OGDEN, UT 84403-3299
(208) 869-2286
Mailing address
1321 E. 4600 S., OGDEN, UT 84403
(208) 869-2286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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