MRS. Shannon Medina, LAT
NPI #1205283843 in Sugar Land, Texas
Provider Information
- NPI Number
- 1205283843
- Entity Type
- Individual
- Name
- MRS. Shannon Medina, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT
- Enumeration Date
- May 23, 2016
- Last Updated
- May 23, 2016
Practice Location
- Address
- 16906 DRIVER LN
- City
- Sugar Land
- State
- Texas
- ZIP Code
- 77498-4681
- Phone
- (832) 493-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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