Individual
LA TANJA AMELIA BATISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1704 WEEKSVILLE RD, ELIZABETH CITY, NC 27909-7977
(252) 335-3389
Mailing address
1704 WEEKSVILLE RD, ELIZABETH CITY, NC 27909-7977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0991
NC
Other
Enumeration date
06/25/2006
Last updated
07/31/2015
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