Individual
ISHMAEL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1201 N SCENIC HWY, BABSON PARK, FL 33827-9751
(904) 477-2059
Mailing address
1320 EAGLES CLAW CT, JACKSONVILLE, FL 32225-0816
(904) 477-2059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5097
FL
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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