Individual
MISS YVONNIE MAYA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12 VERNON AVE APT 3B, BROOKLYN, NY 11206-6464
(347) 543-7429
Mailing address
12 VERNON AVE APT 3B, BROOKLYN, NY 11206-6464
(347) 543-7429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3598
NY
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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