Individual
EMMA TRUDY NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5149 W CINNABAR AVE, GLENDALE, AZ 85302-2309
(602) 300-2286
Mailing address
5149 W CINNABAR AVE, GLENDALE, AZ 85302-2309
(602) 300-2286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
009018
AZ
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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