Xantavia Wain

NPI #1376066837 in Fairborn, Ohio

Provider Information

NPI Number: 1376066837
Entity Type: Individual
Name: Xantavia Wain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 17, 2017
Last Updated: Jul 17, 2017

Practice Location

Address: 2361 DUNCAN DR APT 1
City: Fairborn
State: Ohio
ZIP Code: 45324-2046
Phone: (937) 622-3861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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