Individual
JULIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5002 S MILL AVE, TEMPE, AZ 85282-6828
(602) 512-8607
Mailing address
1068 W SANDY BANKS, GILBERT, AZ 85233-6751
(480) 318-3728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1001
AZ
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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