Individual
MAYOWA DAVID ARIBISALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7612 TIMBERLAKE RD APT 1312, LYNCHBURG, VA 24502-2490
(301) 747-8695
Mailing address
7612 TIMBERLAKE RD APT 1312, LYNCHBURG, VA 24502-2490
(301) 747-8695
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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