Individual
BRIANNA NICOLE HACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15086 JEFFERIES MILL RD, CULPEPER, VA 22701-1308
(540) 219-1126
Mailing address
15086 JEFFERIES MILL RD, CULPEPER, VA 22701-1308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
10/23/2020
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