Individual
JOHNFRE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
6315 5TH ST NW, WASHINGTON, DC 20011-1325
(202) 309-0553
Mailing address
3535 V ST NE, WASHINGTON, DC 20018-1530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003253
VA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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