Individual
JAIRUS DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 COLLEGE DR, UWA STATION 14, LIVINGSTON, AL 35470-2098
(205) 652-3877
Mailing address
1 COLLEGE DR, UWA STATION 14, LIVINGSTON, AL 35470-2098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1356
AL
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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