Individual
JACQUELINE MELISSA KAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 UNIVERSITY DR, MS 3A5, FAIRFAX, VA 22030-4422
(703) 993-3279
Mailing address
16822 VIA LA COSTA, PACIFIC PALISADES, CA 90272-1970
(310) 230-2280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000941
VA
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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