MELISSA OLSON BLACK

GOOCHLAND, VA
NPI1073631149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000030)
Enumeration Date2007-03-27
Last Update Date2012-12-21
Business Address
Mrs. MELISSA OLSON BLACK M.S., A.T.C.
3250 RIVER ROAD WEST
GOOCHLAND, VA 23063
Phone number: 804-556-5322
Mailing Address
Mrs. MELISSA OLSON BLACK M.S., A.T.C.
5004 TORI LN
GOOCHLAND, VA 23063-2115
Phone number: 804-306-4268