Individual
ALEXANDRA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 KERWOOD RD, BUILDING 91025, HURLBURT FIELD, FL 32569
(850) 881-9987
Mailing address
8406 ISLAND DR, NAVARRE, FL 32566-3244
(610) 216-8239
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018808
PA
Other
Enumeration date
01/23/2017
Last updated
06/14/2022
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