Individual
MARIELLE A ULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12630 EVINGTON POINT DR, RIVERVIEW, FL 33579-4060
(813) 297-2635
Mailing address
3153 ALAFAYA CLUB DR APT 102, ORLANDO, FL 32817-6545
(813) 297-2635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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