Stacey Laron Waters Valid NPI
Individual provider · Athletic Trainer · Brandon, FL
- NPI
- 1497370993
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-06-10
- Last updated
- 2020-06-10
Practice location
804 Childers Loop
Brandon, FL 33511-6105
(313) 587-2708