Individual
MISS NENA COLETTE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6465 E BROAD ST STE B, COLUMBUS, OH 43213-1576
(614) 864-1089
Mailing address
5070 CLANCY CT, GAHANNA, OH 43230-1280
(614) 478-5930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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