Individual
KEIONA MARIE NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 HOWARD ST, JAMESTOWN, NY 14701-8124
(716) 969-3046
Mailing address
45 HOWARD ST, JAMESTOWN, NY 14701-8124
(716) 969-3046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004358
NY
Other
Enumeration date
10/12/2020
Last updated
01/11/2022
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