Individual
DAQUANE ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1700 E COLD SPRING LN, BALTIMORE, MD 21251-0001
(443) 885-3486
Mailing address
6 SUGARLOAF CT, APT 101, BALTIMORE, MD 21209-2325
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00747
MD
2255A2300X
Athletic Trainer
J3-0000516
DE
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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