SHIRLEEAH FAYSON

PHOENIX, AZ
NPI1780093278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  1197)
Enumeration Date2014-08-08
Last Update Date2014-08-08
Business Address
-- SHIRLEEAH FAYSON AT
4710 N 5TH ST
PHOENIX, AZ 85012-1738
Phone number: 602-277-3772
Mailing Address
-- SHIRLEEAH FAYSON AT
7311 E SOUTHERN AVE APT. 3052
MESA, AZ 85209-2701
Phone number: 302-650-9410