Individual
AMANDA RICCHEZZA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS, EMT-B
Contact information
Practice address
3751 JOHN TYLER HWY, WILLIAMSBURG, VA 23185-2420
(757) 259-3600
Mailing address
3751 JOHN TYLER HWY, WILLIAMSBURG, VA 23185-2420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000117
VA
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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