Individual
DANIELLE WHITNEY JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
20432 NW 18TH AVE, MIAMI GARDENS, FL 33056-5046
(305) 725-9881
Mailing address
20432 NW 18TH AVE, MIAMI GARDENS, FL 33056-5046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
06/14/2023
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