Individual
CHRISTA MICHELLE BAZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 LITTLE ISLAND RD, EURE, NC 27935-9791
(252) 319-0138
Mailing address
64 LITTLE ISLAND RD, EURE, NC 27935-9791
(252) 319-0138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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