Individual
TATYANA WIMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 STATE ROAD 60 E, LAKE WALES, FL 33853-3751
(863) 589-8686
Mailing address
307 STATE ROAD 60 E, LAKE WALES, FL 33853-3751
(863) 589-8686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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