Individual
SEQUOYAH KAMMIE PORTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 HYDRAULIC RD, CHARLOTTESVILLE, VA 22901-8916
(434) 975-9300
Mailing address
4790 KELLY RD, WOODBRIDGE, VA 22193-4924
(703) 269-7030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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