Individual
MADISON TAYLOR VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 E DEL RIO DR, TEMPE, AZ 85282-2823
(801) 719-9505
Mailing address
572 WOODLAND DR, FARMINGTON, UT 84025-3317
(801) 719-9505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AZ
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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