Khyra Nathan

NPI #1225553837 in Bridgewater, Virginia

Provider Information

NPI Number: 1225553837
Entity Type: Individual
Name: Khyra Nathan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 4, 2017
Last Updated: Aug 4, 2017

Practice Location

Address: 402 E COLLEGE ST
City: Bridgewater
State: Virginia
ZIP Code: 22812-1511
Phone: (540) 828-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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