SHAKALA PETERSON

OVIEDO, FL
NPI1073050670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  P362794955820)
Enumeration Date2017-01-21
Last Update Date2017-01-21
Business Address
-- SHAKALA PETERSON
3430 CARUSO PL
OVIEDO, FL 32765-9020
Phone number: 813-407-9832
Mailing Address
-- SHAKALA PETERSON
3430 CARUSO PL
OVIEDO, FL 32765-9020
Phone number: