Individual
VICTORIA REID PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 S 5TH ST, WACO, TX 76798-0009
(206) 743-4249
Mailing address
1312 S 5TH ST, WACO, TX 76798-0009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
07/08/2024
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