Individual
MARIA ALISON SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1594 CHARLESTON DR, MARION, IA 52302-1769
(319) 389-6722
Mailing address
1594 CHARLESTON DR, MARION, IA 52302-1769
(319) 389-6722
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7950
TX
Other
Enumeration date
12/04/2018
Last updated
06/29/2019
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