Individual
MRS. DANIELLE MOORE KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T.,C
Contact information
Practice address
1 ELM ST, BYFIELD, MA 01922-2734
(978) 499-3162
Mailing address
1 ELM ST, BYFIELD, MA 01922-2734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
978
MA
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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