Individual
BARRY POTOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10705 JOHN TURLEY PL, FAIRFAX, VA 22032-3121
(703) 868-2887
Mailing address
10705 JOHN TURLEY PL, FAIRFAX, VA 22032-3121
(703) 868-2887
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
0126000161
VA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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