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Individual

GABRIELLA C MAMMANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
418 WENTWORTH DR, WINCHESTER, VA 22601-3435
(540) 550-3768
Mailing address
418 WENTWORTH DR, WINCHESTER, VA 22601-3435
(540) 550-3768

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
12/06/2019
Last updated
12/06/2019
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