Individual
MR. RAY YAMRUS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, VATL, ATC
Contact information
Practice address
4400 UNIVERSITY DR, INTERCOLLEGIATE ATHLETICS - MS 3A5, FAIRFAX, VA 22030-4422
(703) 993-3280
(703) 993-3360
Mailing address
4400 UNIVERSITY DR, INTERCOLLEGIATE ATHLETICS - MS 3A5, FAIRFAX, VA 22030-4422
(703) 993-3280
(703) 993-3360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126 000385
VA
Other
Enumeration date
12/08/2011
Last updated
04/19/2016
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