Individual
VICTORIA RENE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 FOX TRAIL CT, ELDRIDGE, IA 52748-9526
(563) 340-8738
Mailing address
6 FOX TRAIL CT, ELDRIDGE, IA 52748-9526
(563) 340-8738
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
087880
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
03/21/2017
Last updated
08/07/2019
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