Individual
MRS. MARY ELLEN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1975 SCENIC DR, FORTUNA, CA 95540-2216
(707) 499-0377
Mailing address
1975 SCENIC DR, FORTUNA, CA 95540-2216
(707) 499-0377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
05/13/2024
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