Individual
TICYNN SYMONE LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 RETRIEVER RUN, TICYNN LONDON, CHARLOTTESVILLE, VA 22903
(757) 812-1226
Mailing address
723 RETRIEVER RUN, TICYNN LONDON, CHARLOTTESVILLE, VA 22903
(757) 812-1226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A61273992
VA
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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