Individual
JASMIN CAMELIA GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4200 54TH AVE S, ATHLETICS, SAINT PETERSBURG, FL 33711-4744
(727) 864-7831
Mailing address
4200 54TH AVE S, ATHLETICS, SAINT PETERSBURG, FL 33711-4744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2419
FL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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