RAVEN SYMONE VEGA

LOUISVILLE, KY
NPI1043952500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-04-13
Last Update Date2022-12-08
Business Address
RAVEN SYMONE VEGA
215 CENTRAL AVE STE 201
LOUISVILLE, KY 40208-1451
Phone number: 502-637-7678
Mailing Address
RAVEN SYMONE VEGA
901 S 4TH ST
LOUISVILLE, KY 40203-3205
Phone number: 502-585-9911