Mya Domonique Anna Tino

NPI #1295463040 in Wimauma, Florida

Provider Information

NPI Number
1295463040
Entity Type
Individual
Name
Mya Domonique Anna Tino
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Aug 10, 2022
Last Updated
Aug 10, 2022

Practice Location

Address
16675 PARKER RIVER ST
State
Florida
ZIP Code
33598-2447
Phone
(540) 841-9650

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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