Individual
KAYLA ASTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 MAPLEDALE AVE, SUCCASUNNA, NJ 07876-1643
(973) 896-5358
Mailing address
47 MAPLEDALE AVE, SUCCASUNNA, NJ 07876-1643
(973) 896-5358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00243600
NJ
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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