Individual
KARA TRIBBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5202 ELLICOTT CT, CENTREVILLE, VA 20120-1726
(703) 581-2336
Mailing address
5202 ELLICOTT CT, CENTREVILLE, VA 20120-1726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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