JADE SHIELDS

SAINT AUGUSTINE, FL
NPI1750988838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT007582)
Enumeration Date2020-10-02
Last Update Date2020-10-02
Business Address
JADE SHIELDS ATC, LAT
144 ENREDE LN
SAINT AUGUSTINE, FL 32095-7436
Phone number: 530-263-9295
Mailing Address
JADE SHIELDS ATC, LAT
144 ENREDE LN
SAINT AUGUSTINE, FL 32095-7436
Phone number: 530-263-9295
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