Individual
SARA ALAINE CHATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S BEAVER ST APT B, FLAGSTAFF, AZ 86001-5654
(909) 744-4448
Mailing address
212 S BEAVER ST APT B, FLAGSTAFF, AZ 86001-5654
(909) 744-4448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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