SHELLY TAKETA

MORAGA, CA
NPI1295117182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-06-26
Last Update Date2015-06-26
Business Address
-- SHELLY TAKETA M.s., ATC
1928 SAINT MARYS RD
MORAGA, CA 94575-2715
Phone number: 925-876-7347
Mailing Address
-- SHELLY TAKETA M.s., ATC
1928 SAINT MARYS RD
MORAGA, CA 94575-2715
Phone number: 925-876-7347