Individual
LAURA BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 N CROATAN HWY, KILL DEVIL HILLS, NC 27948-9200
(252) 261-9940
Mailing address
4604 TAMARACK DR, KITTY HAWK, NC 27949-5919
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002370
VA
Other
Enumeration date
07/09/2014
Last updated
04/16/2018
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