Individual
DIEGO FERNANDO GUERRON OREJUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
111 MILL VIEW LN, LYNCHBURG, VA 24502-4230
(540) 613-7240
Mailing address
111 MILL VIEW LN, LYNCHBURG, VA 24502-4230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003937
VA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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