NPI 1003308313
Shayane Valenzuela Santiago, ATC
Practice location
- Address
- 846/848 Gravenstein Hwy S., Sebastopol, CA 95472
- Phone
- (323) 403-7476
- Mailing address
- 846 Gravenstein Highway South, Sebastopol, CA 95472
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1003308313
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jun 2018
- Record last updated
- 9 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.