Individual
ALEXA DANEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3351 HENDRICKS AVE, JACKSONVILLE, FL 32207-5301
(904) 402-4399
Mailing address
7740 PLANTATION BAY DR APT 306, JACKSONVILLE, FL 32244-5185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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