Individual
ASHLEY ELIZABETH BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13109 RIVERS BEND BLVD, CHESTER, VA 23836-8607
(804) 452-1365
Mailing address
5170 SCANDIA RD, SANDSTON, VA 23150-5411
(804) 737-2351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001121
VA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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