Individual
KENT JOSHUA HULNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11400 S LAKES DR, RESTON, VA 20191-4102
(703) 715-4649
Mailing address
1414 ESPLANADE CT, #147, RESTON, VA 20194-1259
(703) 668-0079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000923
VA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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