Individual
DEVON LAUREN BROSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 EVERGREEN AVE, APPOMATTOX, VA 24522-4080
(434) 944-8928
Mailing address
1476 SILVER CREEK DR, LYNCHBURG, VA 24503-5075
(434) 944-8928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002728
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2016
Last updated
09/27/2018
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