Individual
MISS TAYLER DANIELLE ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2820 HPER CTR, BROOKINGS, SD 57007-1497
(605) 688-4003
Mailing address
1129 E WATERS EDGE CT, DERBY, KS 67037-4037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013710
KS
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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