Individual
MISHAAL AMJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4900 MAYFLOWER HL, WATERVILLE, ME 04901-8849
(207) 859-4970
Mailing address
4900 MAYFLOWER HL, WATERVILLE, ME 04901-8849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2017
Last updated
12/11/2020
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