Individual
ASHLEY MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2926 E. ENCANTO BLVD., PHOENIX, AZ 85009
(602) 554-3140
(602) 269-6997
Mailing address
2926 E. ENCANTO BLVD., PHOENIX, AZ 85009
(602) 554-3140
(602) 269-6997
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATTL000210
AZ
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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