MADISON ANTIONETTE BOUTUREIRA

ITHACA, NY
NPI1154889590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-05
Last Update Date2019-03-05
Business Address
MADISON ANTIONETTE BOUTUREIRA
953 DANBY RD
ITHACA, NY 14850-7000
Phone number: 914-874-6296
Mailing Address
MADISON ANTIONETTE BOUTUREIRA
953 DANBY RD
ITHACA, NY 14850-7000
Phone number: 914-874-6296