Individual
BRITTA LAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BRADDOCK RD, FROSTBURG, MD 21532-2303
(301) 687-4000
Mailing address
108 PARKVIEW DR, GRANTSVILLE, MD 21536-1086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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