Individual
HILLARY ESTELLE STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 DORMITORY ROW WEST, UNIVERSITY, MS 38677
(662) 308-8097
Mailing address
96 DORMITORY ROW WEST, UNIVERSITY, MS 38677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
08/08/2022
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