Individual
TITILAYO PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
15-1565 BEACH RD, KEAAU, HI 96749-2481
(323) 513-6104
Mailing address
PO BOX 492481, KEAAU, HI 96749-2481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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