Individual
AYUMI DEYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 HIGH COTTON DR, ELLENBORO, NC 28040-7322
(828) 748-0836
Mailing address
153 HIGH COTTON DR, ELLENBORO, NC 28040-7322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2015
Last updated
11/09/2018
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