Individual
AMANDA PADILLA BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 LAKEVIEW DRIVE, STARKVILLE, MS 39762
(505) 252-7986
Mailing address
5320 BOGART ST NW, ALBUQUERQUE, NM 87120-4445
(505) 252-7986
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1103
MS
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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