Individual
CHRISTINE M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4960 HAYGOOD RD, VIRGINIA BEACH, VA 23455-5236
(757) 648-5200
Mailing address
4960 HAYGOOD RD, VIRGINIA BEACH, VA 23455-5236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000042
VA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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