Individual
BRIANNA ALEXUS CHANTEA' PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 HAMPTON BLVD, NORFOLK, VA 23529-0001
(757) 683-3000
Mailing address
5108 CRABTREE PL, PORTSMOUTH, VA 23703-3446
(757) 292-7715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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