Individual
ALEXANDRIA VICTORIA BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 E 4TH ST, CHATTANOOGA, TN 37403-1925
(423) 425-4706
Mailing address
116 MARGARETA LN # 116, EAST RIDGE, TN 37412-2230
(615) 818-3939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
07/17/2023
Last updated
07/18/2023
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