Individual
TAMARA ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2292 COE CT, PERRYSBURG, OH 43551-5602
(419) 367-5719
Mailing address
2292 COE CT, PERRYSBURG, OH 43551-5602
(419) 367-5719
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-2521
OH
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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