Individual
HANNAH CLEMENTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
12228 ITTA BENA RD, EMORY, VA 24327
(276) 944-6787
Mailing address
12228 ITTA BENA RD, EMORY, VA 24327
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002666
VA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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