Courtney Mustard

NPI #1831697846 in Fairborn, Ohio

Provider Information

NPI Number: 1831697846
Entity Type: Individual
Name: Courtney Mustard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: 635 JEFFERSON ST
City: Fairborn
State: Ohio
ZIP Code: 45324-5420
Phone: (937) 242-8935

Specialties & Taxonomy Codes

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

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