Individual
KATIE NICHOLE BURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 W MOUNT COMFORT RD APT 309, FAYETTEVILLE, AR 72703-1597
(218) 929-1102
Mailing address
1247 W MOUNT COMFORT RD APT 309, FAYETTEVILLE, AR 72703-1597
(218) 929-1102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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