Individual
BRENT ADAM MORLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4716 RUGBY RD, VIRGINIA BEACH, VA 23464-7959
(757) 372-1230
Mailing address
4716 RUGBY RD, VIRGINIA BEACH, VA 23464-7959
(757) 372-1230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002385
VA
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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