Individual
MRS. AMETHYST MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
Mailing address
4206 VICTORIA LAKES DR W, JACKSONVILLE, FL 32226-0704
(904) 521-7815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2185
FL
Other
Enumeration date
11/01/2006
Last updated
12/15/2008
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