Individual
BREANNA MCNELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 708-2879
Mailing address
1900 STARLING ST APT 103, CHESAPEAKE, VA 23322-4388
(417) 689-3988
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003989
VA
Other
Enumeration date
09/13/2022
Last updated
12/04/2023
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