Individual
YESENIA AVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 AMHURST DR, ARLINGTON, TX 76014-2422
(682) 552-0159
Mailing address
1601 AMHURST DR, ARLINGTON, TX 76014-2422
(682) 552-0159
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
40727837
TX
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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