Individual
YUKHARI SERVANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC, PES
Contact information
Practice address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(817) 531-4444
Mailing address
401 N MAIN ST APT 2307, FORT WORTH, TX 76164-9520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9398
TX
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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