Individual
TARYN WELLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.T.
Contact information
Practice address
9726 TOUCHTON RD, JACKSONVILLE, FL 32246-8304
(904) 421-1221
Mailing address
9726 TOUCHTON RD, JACKSONVILLE, FL 32246-8304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4750
FL
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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