Individual
MR. QUARON FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
812 N IVERSON ST APT 104, ALEXANDRIA, VA 22304-6824
(804) 475-0889
Mailing address
812 N IVERSON ST APT 104, ALEXANDRIA, VA 22304-6824
(804) 475-0889
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003715
VA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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