Individual
JOSIE LYNNE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
771 CHESTNUT RD, EAST LANSING, MI 48824-3434
(517) 353-1655
Mailing address
2319 CASCADE LAKES CIR SE, GRAND RAPIDS, MI 49546-6630
(616) 916-7364
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
11/12/2020
Last updated
01/05/2022
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