Individual
VICTORIA BULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 E MAPLE ST, NORTH CANTON, OH 44720-3336
(330) 490-7035
Mailing address
204 PLEASANTVIEW AVE, SCHENECTADY, NY 12302-1716
(518) 817-9756
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006251
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255A2300X
ATHLETIC TRAINER
—
Enumeration date
08/29/2019
Last updated
09/01/2020
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