Individual
NADINE MATHENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N 3RD STREET, ASU, HEALTH NORTH BUILDING, 3RD FLOOR, PHOENIX, AZ 85004
(602) 496-2644
Mailing address
1522 E SOUTHERN AVE APT 2062, TEMPE, AZ 85282-5667
(318) 564-8814
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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