Individual
MRS. JAELA MARIE MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11501 OLD STAGE RD, CHESTER, VA 23836-2452
(804) 638-8065
Mailing address
306 KARL LINN DR APT 130, NORTH CHESTERFIELD, VA 23225-6985
(757) 719-4436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003713
VA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/19/2018
Last updated
05/24/2022
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