Individual
MICAH ESPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 COMMONWEALTH AVE, BOSTON, MA 02215-1394
(617) 353-7326
Mailing address
520 WOOLLEY DR, NEPTUNE, NJ 07753-3870
(732) 500-2514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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