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Individual
TARYNCE HUDSON
Active
Individual
TARYNCE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1210681743
AR
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1210681743
AR
2083S0010X
Sports Medicine (Preventive Medicine) Physician
1210681743
AR
2255A2300X
Athletic Trainer
1210644080
AR
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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