ELIAS WANGAARD

GARDENDALE, AL
NPI1942600804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  1012)
Enumeration Date2014-08-28
Last Update Date2014-08-28
Business Address
Mr. ELIAS WANGAARD ATC
592 FIELDSTOWN RD 116
GARDENDALE, AL 35071-3414
Phone number: 205-608-3606
Mailing Address
Mr. ELIAS WANGAARD ATC
592 FIELDSTOWN RD 116
GARDENDALE, AL 35071-3414
Phone number: 205-608-3606