Individual
MS. VICTORIA ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6300 OCEAN DR, CORPUS CHRISTI, TX 78412-5503
(361) 825-5700
Mailing address
1701 ENNIS JOSLIN RD, APT 0139, CORPUS CHRISTI, TX 78412-4370
(508) 813-1073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000016547
NATABOC CERTIFICATION
—
Enumeration date
06/30/2014
Last updated
06/30/2014
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