Individual
ANNI MARIE MOORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002336A
IN
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
Update your record
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