Individual
NYESHA PATILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S DIXIE HWY, CORAL GABLES, FL 33146-2926
(305) 284-2211
Mailing address
109 CHRISTIANNA CT, HAVELOCK, NC 28532-9456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
07/05/2021
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