Individual
MARY DANIELLE TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
605 HIGHWAY 469 S, FLORENCE, MS 39073-9077
(601) 692-7483
Mailing address
605 HIGHWAY 469 S, FLORENCE, MS 39073-9077
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-0848
MS
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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