Individual
ILINIZA IMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7677 YANKEE ST, SUIET 110, DAYTON, OH 45459-3475
(937) 401-6400
Mailing address
7677 YANKEE ST, SUIET 110, DAYTON, OH 45459-3475
(937) 401-6400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004374
OH
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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