Individual
MARY KATHERINE HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
3100 S AVENUE A, YUMA, AZ 85364-7904
(928) 502-5647
Mailing address
1325 S HAUPT AVE APT 34, YUMA, AZ 85364-4248
(801) 710-6157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0662
AZ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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