ERICA ILLIUM

TEMPE, AZ
NPI1427431089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  1321)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- ERICA ILLIUM ATC
1811 E APACHE BLVD. #3024
TEMPE, AZ 85281
Phone number: 916-365-3600
Mailing Address
-- ERICA ILLIUM ATC
1811 E APACHE BLVD. #3024
TEMPE, AZ 85281
Phone number: 916-365-3600
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