Individual
MONICA JEANNE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, LAT, ATC
Contact information
Practice address
175 MAYFIELD DR, BOYDTON, VA 23917-2817
(434) 447-7613
Mailing address
175 MAYFIELD DRIVE, PO BOX 196, BASKERVILLE, VA 23917
(434) 738-6111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002983
VA
2255A2300X
Athletic Trainer
LAT-4228
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/27/2018
Last updated
11/07/2023
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