Individual
MR. MICHAEL HERBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1101 RUSSELL ST, BALTIMORE, MD 21230-2602
(410) 324-6141
Mailing address
10174 CANNON BALL CT, MANASSAS, VA 20109-3512
(571) 358-4014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003379
VA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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