Individual
MISS DONNA ELAINE WESLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4381 S EASON BLVD, TUPELO, MS 38801-6583
(662) 377-5468
(662) 377-7230
Mailing address
414 OAK RD, FULTON, MS 38843-8916
(662) 862-5568
(662) 862-5568
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0144
MS
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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