Individual
MECHELLE SUEZETTE NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
LOYOLA UNIVERSITY MARYLAND ATHLETICS, 4501 N CHARLES ST., BALTIMORE, MD 21210
(410) 617-5276
(410) 617-5709
Mailing address
5423 QUEST CT, DALE CITY, VA 22193
(703) 980-5117
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A0001034
MD
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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