Individual
YANIS M TORRES TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
5226 TIMBERTOP LN, CHARLOTTE, NC 28215-7548
(704) 488-2300
Mailing address
5226 TIMBERTOP LN, CHARLOTTE, NC 28215-7548
(704) 488-2300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2353
SC
2255A2300X
Athletic Trainer
Primary
LAT-3227
NC
Other
Enumeration date
02/06/2018
Last updated
06/07/2019
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