Individual
MIRIAM HOSMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
421 N WOODLAND BLVD UNIT 8317, DELAND, FL 32723-8417
(386) 822-8879
Mailing address
561 MOUNT OLYMPUS BLVD, NEW SMYRNA BEACH, FL 32168-2413
(359) 822-8879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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