Individual
JILLIAN GONYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 403-3057
Mailing address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 403-3057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3929
NC
2255A2300X
Athletic Trainer
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Other
Enumeration date
02/15/2018
Last updated
01/27/2023
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