Individual
MIKAYLA CORIN TALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1904 ENGLISH OAK CT, VIRGINIA BEACH, VA 23453-7088
(757) 580-2020
Mailing address
1904 ENGLISH OAK CT, VIRGINIA BEACH, VA 23453-7088
(757) 580-2020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
200003962
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/05/2019
Last updated
07/22/2020
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