Individual
YETBAREK FEKADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 E COLLEGE ST, BRIDGEWATER, VA 22812-1599
(540) 828-8000
Mailing address
1359 TAYLOR GROVE LN UNIT 2, ROCKINGHAM, VA 22801-2599
(703) 624-7722
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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