Individual
MEGHAN DURETTE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SUNBRIGHT DR, BRIDGEWATER, VA 22812-9579
(540) 414-3974
Mailing address
107 SUNBRIGHT DR, BRIDGEWATER, VA 22812-9579
(540) 414-3974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002423
VA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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