Individual
MS. AMBER LOUISE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1700 OLD MIDDLEBURG RD N, JACKSONVILLE, FL 32210-1232
(904) 693-7620
Mailing address
2194 CLUB LAKE DR, ORANGE PARK, FL 32065-4600
(904) 537-2836
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5023
FL
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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