Individual
DANIELLE CLAIROSE KMUCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 QUAKER WAY, WILMINGTON, OH 45177-2499
(800) 341-9318
Mailing address
1870 QUAKER WAY, WILMINGTON, OH 45177-2499
(937) 382-6661
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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