Organization
MILES OF FITNESS PERSONAL FITNESS TRAINING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES RANDALL NEWMAN (OWNER)
(301) 710-3215
Entity
Organization
Contact information
Practice address
6427 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2607
(301) 710-3215
Mailing address
6427 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2607
(301) 710-3215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
400317804141
DC
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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