Individual
BRIANA MIKAYLA PANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 SALAMANCA ST, NAVARRE, FL 32566-9108
(850) 377-4255
Mailing address
2052 SALAMANCA ST, NAVARRE, FL 32566-9108
(850) 377-4255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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