Individual
MISS KELSEY LEIGH MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11200 GOVERNOR MANLY WAY, SUITE 309, RALEIGH, NC 27614-8599
(919) 562-9410
Mailing address
1812 HILLOCK DR, APT A, RALEIGH, NC 27612-4037
(919) 562-9410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2606
NC
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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