Individual
KYLIE AMBER HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
551 HERITAGE XING, MACCLENNY, FL 32063-6027
(904) 408-8735
Mailing address
551 HERITAGE XING, MACCLENNY, FL 32063-6027
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2020
Last updated
02/15/2020
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