Individual
JENA AMELIA HANSEN-HONEYCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 UNIVERSITY DRIVE, MS 3D4, FAIRFAX, VA 22030
(703) 993-7591
Mailing address
4450 RIVANNA RIVER WAY # 3708, FAIRFAX, VA 22030-4441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000008679
—
Other
Enumeration date
02/14/2014
Last updated
09/07/2016
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