Individual
HODA ELKHOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10038 JEFFERSON WAY, FORT WAYNE, IN 46825-2187
(226) 688-8838
Mailing address
10038 JEFFERSON WAY, FORT WAYNE, IN 46825-2187
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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