Individual
MISS JANELLE A PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
OLD DOMINION UNIVERSITY, NORFOLK, VA 23529-0001
(860) 987-8075
Mailing address
85 PEPPERWOOD PL, PORTSMOUTH, VA 23703-2766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002804
VA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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