Individual
EVAN LIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6450 4TH ST S, ST PETERSBURG, FL 33705-5901
(727) 504-1958
Mailing address
6450 4TH ST S, ST PETERSBURG, FL 33705-5901
(727) 504-1958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4734
FL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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