Individual
PAIGE EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 KIRKWOOD HWY, WILMINGTON, DE 19808-5131
(302) 635-9009
Mailing address
181 THORN LN APT 5, NEWARK, DE 19711-4425
(717) 504-5885
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000781
DE
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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