Individual
MISS COURTNEY JANE HAVENS-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
(269) 993-7978
Mailing address
19940 N 23RD AVE, APT 1043, PHOENIX, AZ 85027-7401
(269) 993-7978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1301
AZ
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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