Individual
PRESTON JAMES ANDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
141 THOMAS JOHNSON DR, SUITE 180, FREDERICK, MD 21702-4502
(301) 620-7478
(301) 620-7479
Mailing address
141 THOMAS JOHNSON DR, SUITE 180, FREDERICK, MD 21702-4502
(301) 620-7478
(301) 620-7479
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000519
MD
2255A2300X
Athletic Trainer
RT005168
PA
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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