Individual
MISS AMBER BRITTANY WOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
319 W CALL ST STE A, STARKE, FL 32091-3172
(904) 368-1257
Mailing address
10567 SERENA DR, JACKSONVILLE, FL 32225-8349
(407) 443-8033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4168
FL
Other
Enumeration date
08/12/2017
Last updated
03/17/2018
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