Individual
MRS. MARIE CARNEVALE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
597 HOLIDAY DR, PONDER, TX 76259-4406
(817) 875-0603
(940) 479-2327
Mailing address
PO BOX 531, PONDER, TX 76259-0531
(817) 875-0603
(940) 479-2327
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2030
TX
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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