Individual
ANGELA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 WILSON ST, ROCKY MOUNT, VA 24151-1222
(540) 420-9199
Mailing address
90 WILSON ST, ROCKY MOUNT, VA 24151-1222
(540) 420-9199
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001307
VA
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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