Individual
CODY MILES WENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 JEAN ST, MOUNT OLIVE, NC 28365-1309
(919) 273-6139
Mailing address
112 JEAN ST, MOUNT OLIVE, NC 28365-1309
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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