NPI | 1134635303 |
---|---|
Former Name | CHELSEA LEANN READ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601000868) |
Enumeration Date | 2017-12-23 |
Last Update Date | 2017-12-23 |