Individual
TELEIGHA TEILON LOURELL STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
629 SOUTH JOHNSON, 3, IOWA CITY, IA 52240
(319) 621-9125
Mailing address
629 SOUTH JOHNSON, 3, IOWA CITY, IA 52240
(319) 621-9125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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