STACY L VITEK

SUFFOLK, VA
NPI1063488328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000956)
Enumeration Date2006-02-27
Last Update Date2007-07-08
Business Address
Miss STACY L VITEK ATC/CPT
2007 MEADE PKWY
SUFFOLK, VA 23434-4259
Phone number: 757-539-6300
Mailing Address
Miss STACY L VITEK ATC/CPT
305 DOCK CT
SUFFOLK, VA 23435-2779
Phone number: 757-483-0144
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