Individual
TERA D WINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9198 GRAYTON ST, DETROIT, MI 48224-1923
(313) 401-6282
Mailing address
9198 GRAYTON ST, DETROIT, MI 48224-1923
(313) 401-6282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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