Individual
DOMINIC BURFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
601 F ST NW, WASHINGTON, DC 20004-1605
(814) 331-7664
Mailing address
1817 DANIA DR, FORT WASHINGTON, MD 20744-3738
(240) 291-4497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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