Individual
CORINNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 NUTT RD, JAMESTOWN, NY 14701-9432
(716) 640-3553
Mailing address
3606 NUTT RD, JAMESTOWN, NY 14701-9432
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
644740343
NY
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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