MISS Mikayla Micole Dammerman

NPI #1750735957 in Cobden, Illinois

Provider Information

NPI Number
1750735957
Entity Type
Individual
Name
MISS Mikayla Micole Dammerman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Apr 14, 2016
Last Updated
Apr 14, 2016

Practice Location

Address
105 KRATZINGER HOLLOW RD
City
Cobden
ZIP Code
62920-3780
Phone
(618) 697-8173

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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