DAQUANE ELLINGTON

BALTIMORE, MD
NPI1821468349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD  A00747)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: DE  j3-0000516)
Enumeration Date2015-09-26
Last Update Date2015-09-26
Business Address
-- DAQUANE ELLINGTON MS, ATC, LAT
1700 E COLD SPRING LN
BALTIMORE, MD 21251-0001
Phone number: 443-885-3486
Mailing Address
-- DAQUANE ELLINGTON MS, ATC, LAT
6 SUGARLOAF CT APT 101
BALTIMORE, MD 21209-2325
Phone number:
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