Individual
JOHN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 COLLEGE AVE, FREDERICKSBURG, VA 22401-5300
(540) 654-1874
Mailing address
10108 BALLSTON RD, FREDERICKSBURG, VA 22408-0287
(434) 221-7392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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