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Individual

TRONIESE MIKIEYA WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2921 MAYO ST, HOLLYWOOD, FL 33020-5647
(954) 873-0220
Mailing address
640 DR MARY MCLEOD BETHUNE BLVD, DAYTONA BEACH, FL 32114-3012

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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