Individual
HALEY MARIE DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4917 APPLETREE DR, ROANOKE, VA 24012-8539
(540) 632-6997
Mailing address
4917 APPLETREE DR, ROANOKE, VA 24012-8539
(540) 632-6997
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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