Individual
VICTORIA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W WILSON ST # 3441, WINGATE, NC 28174-6747
(252) 327-1060
Mailing address
102 W WILSON ST # 3441, WINGATE, NC 28174-6747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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