Individual
MARTHA ELIZABETH MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
5194 CHIEF TRL, VIRGINIA BEACH, VA 23464-2704
(757) 474-8400
Mailing address
4936 ROSECROFT ST, VIRGINIA BEACH, VA 23464-2941
(757) 467-4260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000017
VA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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