Individual
MISS KATHLEEN MARIE TAMBERRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4501 N CHARLES ST, BALTIMORE, MD 21210
(434) 544-8649
Mailing address
4501 N CHARLES ST, BALTIMORE, MD 21210-2601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
012001739
VA
2255A2300X
Athletic Trainer
Primary
A00757
MD
Other
Enumeration date
12/13/2012
Last updated
09/07/2021
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