Individual
EMMA CELESTE STITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 JOHANNA BAY DR, MIDLOTHIAN, VA 23114-7118
(804) 357-6037
Mailing address
1105 JOHANNA BAY DR, MIDLOTHIAN, VA 23114-7118
(804) 357-6037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2022
Last updated
07/18/2023
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