Individual
JASMIN DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 CHAMPIONS DRIVE, HARRISONBURG, VA 22807-0001
(804) 822-5054
Mailing address
6309 FREDONIA RD, RICHMOND, VA 23227-1603
(804) 822-5054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/15/2021
Last updated
09/15/2021
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