Individual
MISS EMMA FAITH CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
9345 BLUE HOUSE RD, APT 9302, LADSON, SC 29456-4093
(614) 586-2187
Mailing address
9345 BLUE HOUSE RD, APT 9302, LADSON, SC 29456-4093
(614) 586-2187
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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