Individual
MAECI MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E UNIVERSITY, MAGNOLIA, AR 71753-2181
(870) 235-4000
Mailing address
207 SAN SABA LN, TEXARKANA, TX 75503-2334
(870) 582-5947
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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