Individual
NICOLE CHRISTINE MOSLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
615 ALBERTHAS DR, VIRGINIA BEACH, VA 23452-5801
(757) 652-2876
Mailing address
615 ALBERTHAS DR, VIRGINIA BEACH, VA 23452-5801
(757) 652-2876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000644
VA
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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