Individual
MARY ASGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 HILLSIDE DR, KINGS MOUNTAIN, NC 28086-3216
(704) 915-2324
Mailing address
618 HILLSIDE DR, KINGS MOUNTAIN, NC 28086-3216
(704) 915-2324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000039868007
NC
390200000X
Student in an Organized Health Care Education/Training Program
000039868007
NC
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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