Individual
ENYIAH MERCEDES GENESIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2170 ROUTE 27, EDISON, NJ 08817-3332
(888) 280-4331
Mailing address
4800 ADDISON RD # B-215, CAPITOL HEIGHTS, MD 20743-1042
(703) 944-5917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001421
MD
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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