Individual
TABITHA RUTH ESTHER MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
493 CENTRAL AVE N, VALLEY CITY, ND 58072
(701) 840-5439
Mailing address
1830 111TH AVE SE, DAZEY, ND 58429-9745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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