Individual
AJANAEIA WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 REED CANAL RD APT 6203, PORT ORANGE, FL 32129-9187
(269) 903-5571
Mailing address
1270 REED CANAL RD APT 6203, PORT ORANGE, FL 32129-9187
(269) 903-5571
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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