Individual
CAROL JEAN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TOWERS PARK LN APT 908, SAN ANTONIO, TX 78209-6434
(210) 710-9454
Mailing address
1 TOWERS PARK LN APT 908, SAN ANTONIO, TX 78209-6434
(210) 710-9454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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