Individual
MRS. DEVON FRAKER GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 OTTERBURN RD, AMELIA COURT HOUSE, VA 23002-4849
(610) 551-7744
Mailing address
437 GRAVEL HILL RD, FORK UNION, VA 23055-2104
(610) 551-7744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001869
VA
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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