Individual
MRS. KRISTINE DOMINO STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C., L.A.T.
Contact information
Practice address
1101 OHIO DR, SUITE 110, PLANO, TX 75093-5330
(972) 985-2622
(972) 985-2630
Mailing address
2819 HIDDEN KNOLL TRL, FRISCO, TX 75034-4667
(972) 624-1292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1405
TX
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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