Individual
MEGHAN ELIZABETH ELAINE MUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WILLOW TRACE CIR APT 6, CLEMMONS, NC 27012-8801
(336) 705-5013
Mailing address
101 WILLOW TRACE CIR APT 6, CLEMMONS, NC 27012-8801
(336) 705-5013
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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