Individual
ANGELIQUE MARIE TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LAKEWIND TRL, MAITLAND, FL 32751-5407
(770) 355-1029
Mailing address
100 LAKEWIND TRL, MAITLAND, FL 32751-5407
(770) 355-1029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4618
FL
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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