Individual
MEGHA DANIELLE SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 RAMSEY ROAD, ATHENS, GA 30602-0001
(706) 542-5060
Mailing address
8580 MERION DR, DULUTH, GA 30097-6656
(678) 392-6593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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