Individual
EMMA JANE RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 ORCHARD VILLAS AVE STE 100, APEX, NC 27502-4339
(919) 576-8383
Mailing address
9632 RED PINE DR, PLYMOUTH, MI 48170-3269
(734) 680-5717
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000041172
—
Other
Enumeration date
02/12/2021
Last updated
10/10/2023
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