Individual
MR. CHASZ MONTEO COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 WOODBURY CIR APT 202, HARRISONBURG, VA 22802-2663
(704) 891-7907
Mailing address
1010 WOODBURY CIR APT 202, HARRISONBURG, VA 22802-2663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
VA
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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