Individual
MR. DANIEL MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
201 WATER ST, SEVERNA PARK, MD 21146-4522
(410) 647-7701
Mailing address
303 DELMA AVE, PASADENA, MD 21122-3916
(703) 906-4149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000295
MD
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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