Individual
DAKARI BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 WESTYN TERRACE LOOP APT 102, FOREST, VA 24551-5058
(804) 704-5808
Mailing address
1012 WESTYN TERRACE LOOP APT 102, FOREST, VA 24551-5058
(804) 704-5808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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