Individual
MANDY MARIE FAUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LAT,ATC
Contact information
Practice address
6415 COVINGTON VILLAS DR, TUSCALOOSA, AL 35405-7038
(618) 499-0449
Mailing address
6415 COVINGTON VILLAS DR, TUSCALOOSA, AL 35405-7038
(618) 499-0449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1411
AL
Other
Enumeration date
04/08/2022
Last updated
04/11/2022
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