Individual
DANIELLE CARRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2028 COLGROVE AVE APT 205, KALAMAZOO, MI 49048-1542
(715) 581-4373
Mailing address
2028 COLGROVE AVE, APT 205, KALAMAZOO, MI 49048-1570
(715) 581-4373
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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