Individual
EMILY EUNICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 W LAKE DR., DELAND, FL 32724
(561) 358-4945
Mailing address
2589 W LAKE DR, DELAND, FL 32724-3283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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