Individual
DANIELLE CORISSA YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
523 GLASS LN STE 4A, MODESTO, CA 95356-9233
(209) 284-1909
Mailing address
1425 EAST AVE, TURLOCK, CA 95380-4210
(209) 485-4882
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000011306
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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