Individual
MR. DRAZAN VUKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1860 TOWN CENTER DR STE 300, RESTON, VA 20190-5900
(571) 354-1260
Mailing address
1860 TOWN CENTER DR STE 300, RESTON, VA 20190-5900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002879
VA
Other
Enumeration date
04/11/2020
Last updated
03/05/2022
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