Individual
LYNEA ELAINE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 MANGRUM AVE, SACRAMENTO, CA 95822-3909
(508) 562-0175
Mailing address
2090 MANGRUM AVE, SACRAMENTO, CA 95822-3909
(508) 562-0175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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