Individual
MARIA INMACULADA CUERVO Y BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 CAMINO SANTA MARIA ST, ATHLETIC TRAINING DEPARTMENT, SAN ANTONIO, TX 78228-5433
(210) 431-5043
Mailing address
4207 ROLLING OAK DR, LAKELAND, FL 33810-1286
(863) 255-9953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4686
FL
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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