Individual
MS. DEBORAH ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7424 DECRENY CIR, NORFOLK, VA 23505-3314
(757) 963-8331
Mailing address
7424 DECRENY CIR, NORFOLK, VA 23505-3314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000118
VA
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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