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Individual

DAYNA NICHOLE ELENIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AT, ATC, LMT

Contact information

Practice address
690 AMSTERDAM ST, DETROIT, MI 48202-3410
(313) 651-1910
Mailing address
2077 FERNLOCK DR, OXFORD, MI 48371-4421
(248) 840-9710

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
260100322
MI

Other

Enumeration date
03/23/2020
Last updated
03/23/2020
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