Individual
MRS. ANN ELIZABETH WIRINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CPH, ATC, LAT
Contact information
Practice address
513 S MILTON AVE, BALTIMORE, MD 21224-3750
(718) 635-3808
Mailing address
513 S MILTON AVE, BALTIMORE, MD 21224-3750
(718) 635-3808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004501
PA
Other
Enumeration date
11/05/2014
Last updated
06/16/2016
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