Individual
MR. EVAN ALEXANDER WOMELDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2 COLLEGE HL, WESTMINSTER, MD 21157-4303
(410) 848-7000
Mailing address
2902 RITCHIE AVE, BALTIMORE, MD 21219-1223
(410) 477-2042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000750
MD
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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