TIANA MCKIM

NEWARK, DE
NPI1780131177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: DE  1714469)
Enumeration Date2016-09-02
Last Update Date2019-11-18
Business Address
Miss TIANA MCKIM LAT, ATC
631 S COLLEGE AVE
NEWARK, DE 19716-2010
Phone number: 302-831-2196
Mailing Address
Miss TIANA MCKIM LAT, ATC
631 S COLLEGE AVE
NEWARK, DE 19716-2010
Phone number: 302-831-2196