Individual
BRENNA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 TANTERRA DR, STAFFORD, VA 22556-8007
(540) 659-2557
Mailing address
56 TANTERRA DR, STAFFORD, VA 22556-8007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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