Koinonia Diva Howard

NPI #1811414345 in Auburndale, Massachusetts

Provider Information

NPI Number: 1811414345
Entity Type: Individual
Name: Koinonia Diva Howard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 25, 2017
Last Updated: Aug 25, 2017

Practice Location

Address: 1844 COMMONWEALTH AVE
City: Auburndale
State: Massachusetts
ZIP Code: 02466
Phone: (617) 335-4098

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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