Individual
WISDOM NZIDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
200 SWIFT ST APT 1C, NEWPORT NEWS, VA 23602-4296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003568
VA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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