Individual
SAVANNAH GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 LANCE DR, NEWPORT NEWS, VA 23601-1622
(757) 291-3544
Mailing address
701 LANCE DR, NEWPORT NEWS, VA 23601-1622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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