Individual
ANDREA DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010
(202) 877-1606
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1606
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MA
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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