Individual
DENEQUA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
(434) 544-8100
Mailing address
170 AUTUMN VIEW LN, MADISON HEIGHTS, VA 24572-6228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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