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Individual

ASHLYNE PAIGE VINEYARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT, LAT, ATC

Contact information

Practice address
4010 QUIET GLADE CT, KINGWOOD, TX 77345-1248
(832) 312-0615
Mailing address
4010 QUIET GLADE CT, KINGWOOD, TX 77345-1248
(832) 312-0615

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7119
TX

Other

Enumeration date
03/10/2017
Last updated
03/14/2018
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