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Individual

ALISSA SIEMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED, ATC, VATL

Contact information

Practice address
5800 MARSHALL AVE, NEWPORT NEWS, VA 23605-2420
(757) 570-4184
Mailing address
419 MARYLAND AVE, PORTSMOUTH, VA 23707-2119

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001057
VA

Other

Enumeration date
10/25/2007
Last updated
07/06/2008
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