Individual
CHERYL HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(703) 993-3277
Mailing address
4400 UNIVERSITY DR, MS 3A5, FAIRFAX, VA 22030-4422
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003495
VA
2255A2300X
Athletic Trainer
AL4614
FL
Other
Enumeration date
07/02/2015
Last updated
06/04/2021
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