Individual
MACKENZI WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S MAIN ST, HARRISONBURG, VA 22807-0001
(757) 376-3226
Mailing address
27 N COURT ST, WINDSOR, VA 23487-9627
(757) 376-3226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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